Waiting List Online Form

I am sorry but we are currently full at this time. We will be having our Open Enrollment period for grades 1 - 8 the week of February 22, 2010. The first week in March we will perform our lottery for fall enrollment 2010. If you are looking for placement for the fall, please complete this form and submit to be included in this lottery. Kindergarten enrollment took place in September 09. and currently the fall class is full with a waiting list.

Thank you for your interest in FJA

* Required fields
Name *
E-mail Address *
Student Name *
Legal Last Name if different
Residental Address/Street,City, State, Zip *
Mailing Address/Street, City, State, Zip *
Sex *
Student's Date of Birth *
Birthplace / City & State *
Last Grade Enrolled *
Grade applying for *
Student lives with *
Race/Ethnic Background/Check only one *
What is the PRIMARY LANGUAGE of the student? *
Last School Attended including dates and reason for leaving *
Is the student currently enrolled in programs such as Special Education, Bilingual Education, Gifted Programs, etc? If yes, please explain. *
Is the student currently under the supervision of the Juvenile Court for prior criminal activity? If Yes, please explain *
Was the student expelled from the last school or long term suspended from the last school? If Yes, please explain. *
Contact Information including Phone numbers *

I have read and agree to the Privacy Policy *

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