22-23  BlueJay Academy Application
THERE ARE TWO SECTIONS IN THIS APPLICATION. One section is for the parent/guardian to complete. The other is for a student response. Parent/Guardians & Students should complete and sign the application at the same time.

Please complete the following questions to place the student's name on the BlueJay Academy waitlist. Applications will not be considered without all of the information requested. Online enrollment for Guthrie Public Schools must also be completed.  Final acceptance will be determined after GPS enrollment forms are completed and appropriate educational placement is determined by the Review Committee. Upon final acceptance, students and parents will also be required to complete additional paperwork during their initial meeting.

Seating is limited.

(Note, if choosing to participate in blended learning, students are responsible for transportation to and from the appropriate school site. Also, if choosing blended learning, participation in "before-classes-begin" activities & practices should continue with or without BJA acceptance notice.)
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Student's first name: *
Student's middle name: *
Student's last name: *
Parent/Guardian Name (First & Last) *
Parent/Guardian E-mail address. Parent/Guardian MUST be able to communicate via email. *
Parent/Guardian Phone #  -- must be in ###-###-#### *
Add'l Parent/Guardian Name (First & Last) if applicable
Add'l Parent/Guardian E-mail address, if applicable
Add'l Parent/Guardian phone #, if applicable
Student's Birth Date *
MM
/
DD
/
YYYY
Grade Level for 2022-2023: *
Has student been accepted to attend Meridian Technology Center in 22-23? *
If Yes, please list Program Name. If No, skip.
If student plans to participate in course(s) or competitive team(s) at the physical GHS / GJHS buildings, please check the appropriate boxes. (You will need to scroll horizontally to view all options. This is ONLY for classes they want to take in the traditional brick & mortar school.)  For example, if a student needs to take English, but wants to take it online, DO NOT mark here.      ***NOTE: At GJHS, the blended learning options available will be Band, Choir, Athletics, and AgEd.***
AP Course(s)
AgEd - FFA
Art Course
Band
Choir
Drama
English Course -non-AP
Foreign or World Language Course
J-ROTC
Math Course -non-AP
Science Course -non-AP
Social Studies Course -non-AP
Sports - Fall
Sports - Spring
Row 1
           If checked, please provide additional information such as course name, specific sport(s), etc.)
Student's previous school: *
Has the student previously been enrolled in a virtual school / classroom? *
If yes, what company was the curriculum provider?
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