FJA Student Online Wait List Form

Open enrollment for Grades 1-8 for the Fall of 2011 was held the last week of February 2011. Grades 1 - 6 are now full with few spots remaining at our middle school grades 7 & 8.

For those interested in attending our Middle School in the Fall of 2012, please either complete this online request, or stop by our campus to pick up an application.

Open enrollment for Fall 2012 will conclude the last week of February 2012. The middle school will be holding an Open House/Information Evening in February (Date TBD).

Thank you for your interest in FJA.

*Required Field

Name:*
Your E-Mail:*
Student Name:*
Legal Last Name if different:
Phone Number:*
Residential Address - Street, City, State, Zip:*
Mailing Address - Street, City, State, Zip:*
Sex:	- male - female Select...
Parent's Place of Employment:*
Student's Birth Date:*
Student's Brith Place - City, State:*
Last Grade Enrolled:*
Grade Applying For:*
Student Lives With:*	- father - mother - father & mother - stepfather - stepmother - father & stepmother - mother & stepfather - legal guardian - foster - other Select...
Student's Ethnicity:	- American Indian or Alaskan Native - African American - Hispanic - Caucasian - Pacific Islander or Asian - Other Select...
Student's Primary Language:*
Last school attended (include 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:*