23-24 Bluejay Student-Parent Agreement (GUARDIAN)
Please complete the following questions to place your student's name on the Bluejay Academy application list. Online enrollment for GPS is now open and must also be completed and processed.

Applications will not be considered without all of the information requested; both Guardian & Student forms must be submitted. Final acceptance will not be granted until all GPS enrollment forms are completed and appropriate educational placement is determined in early August.  

Upon final acceptance, students and parents will be required to complete additional paperwork during their initial meeting. 

Active enrollment in the Bluejay Academy requires the successful completion of 80-100 activities every week AFTER the Orientation Tasks are complete. Assignments sent back for plagiarism, etc. are not counted in this total.

(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 Guthrie classes begin" activities & practices should continue with or without BJA acceptance notice.)

Parents/Guardians & Students are responsible for signing up for each class Remind & Google Classroom notification & information apps. Specific information is available in the students' orientation tasks. These sources provide necessary details for graduation requirements, school pictures, senior class activities, mandated tests, and more!
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Your student's First Name: *
Your student's Last Name: *
Please explain the request for online learning. *If medical, please note medical documentation is available and submit a copy to bja-doc@guthrieps.net. *
Please check any of the following forms of assistance  you are willing and able to provide:
At least one Parent/Guardian must be listed. Sections are available for a second Parent/Guardian if needed. Otherwise, leave "2" blank. 
Parent / Guardian 1 Name (First & Last): *
Parent / Guardian 2 Name (First & Last): 
Parent/Guardian 1 Email -- An address that is checked. Parents/Guardians must be able to communicate via Email.  *
Parent/Guardian 2 Email Address that is checked, if available. 

Parent/Guardian 1 phone in ###-###-#### format

 *

Parent/Guardian 2 phone in ###-###-#### format

Student's School for 22-23 school year: *
Student's Date of Birth: *
MM
/
DD
/
YYYY
Why do you feel your student will be successful at Bluejay Academy? *
What should we know about your student? Strengths? Weaknesses? *
Student's Grade Level for 23-24: *
If your student is currently receiving Special Services, mark any that apply.
Has your student been accepted to attend Meridian Technology Center in 23-24? *
If YES, please list program name.
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.*** [Row 1]
AP Course(s)
AgEd - FFA
Art Course
Band
Choir
Foreign or World Language Course
J-ROTC
Non-AP English Course
Non-AP Math Course
Non-AP Science Course
Non-AP Social Studies Course
Sports - Fall
Sports - Spring
Row 1
If checked, please provide additional information such as course name(s), specific sport(s), specific AgEd class name(s), specific JROTC class name, etc.
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