Waiting List Online Form

We are currently full at this time. Enrollment for Fall 2010 has been completed and a waiting list has been established.  If you would like to be added to our waiting list, please complete this form and submit. 

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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