Little Rock Central High School JAG Program Application 2022-2023
Thank you for considering the Central High School JAG Program. Please complete the following online application. After your application is complete you will be contacted via email or by phone to discuss the details of the program. Please call 501-447-1442 if you have additional questions or concerns.
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Student Name (First and Last Name) *
Email Address *
Street Address *
City *
State *
Zip Code *
Parent Name and Phone Number. Include area code please. (Example: John Doe, 501-999-5555) *
Student Cell Phone Number *Or a phone number I speak with you directly. Include area code please. (Example: 501-773-3285) *
Grade Level *
Are you presently working or have you had a previous job? *
If you are working, what is the name of the company?
What is the address of the company?
What are your goals for the upcoming school year?(Such as graduation, classes, job, after graduation)
List any career and technical (business) class that you have complete. If you can remember the teacher list their name as well. (For Example: Survey of Business, Ms. Withers) *
Who is your current English Teacher? *
Each student who is a part of the work program is required to have a job and/or volunteer 10 hours a week. This is a mandatory component of the program. If you understand this statement type your first and last name in the space provided. *
Each student who is a part of the work program is required to have parental and company consent as well as attend class regularly. This is a mandatory competent of the program. If you understand this statement type your first and last name in the space provided. *
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