Online Enrollment

If you prefer to fill out the enrollment application by hand, please download this PDF, fill it out and return to the school. Thanks!

New Student Pre-Enrollment Form

Student Infomation
Last Name :
Middle Name :
First Name :
  
Student is applying for grade :
Student Contact Infomation
Address :
Apt/Unit :
City :
State :
Zip :
Home :
Cell :
Work :
Email :

Parent/Guardian/Family Information
Last Name :
Middle Name :
First Name :
Home :
Cell :
Work :
Email :



Previous Schools
School Name :
Address :
Dates of Enrollment : to
School Name :
Address :
Dates of Enrollment : to
School Name :
Address :
Dates of Enrollment : to

Emergency Contact Information
Full Name :
Relationship to Student :
Home :
Cell :
Work :
Full Name :
Relationship to Student :
Home :
Cell :
Work :

Additional Information


* Jennings Community Learning Center is an experiential-based high school. We frequently participate in school day trips. By signing this form you are giving permission for Jennings School to take your child/children on school field trips.
Parent/Guardian Date July 28, 2014
Student Date July 28, 2014
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