20-21 BlueJay Academy Application

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THIS APPLICATION IS FOR OUR FULL-TIME VIRTUAL ACADEMY, NOT FAVER ALTERNATIVE SCHOOL.

After completing all necessary Guthrie Public School enrollment forms, including proof of residency requirements through the district's online enrollment system and providing complete documentation from your prior school if applicable, please complete the following application to apply to BlueJay Academy. Applications will not be processed without all of the information requested. Upon acceptance, students and parents will also be required to complete additional paperwork including the BlueJay Academy Agreement, Parent-Student Agreement, & State FERPA Agreement during their initial meeting. (Note, if choosing to participate in blended learning, students are responsible for transportation to the appropriate school site.)

Student's first name: *

Student's middle name: *

Student's last name: *

Student's Birth Date

YYYY

Grade Level for 2020-2021: *

Will student attend Meridian Technology Center this school year? *

Yes - AM

Yes - PM

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.) ***NOTE: At GJHS, the blended learning options available will be Band, Choir, Athletics, and AgEd.*** (H.S. FFA/AgEd is listed at the end, out of alphabetical order. Apologies.)

AP Course(s)

Art Course

Band

Choir

Drama

English Course

Foreign or World Language Course

J-ROTC

Math Course

Science Course

Social Studies Course

Sports - Fall

Sports - Spring

AgEd - FFA

Row 1

Row 2

If checked, please provide additional information such as course name, specific sport(s), etc.)

Parent/Guardian Information: (1) is for one parent/guardian's information; (2) is for the second individual's information if applicable. Phone Number needs to be a number at which you can be reached. An e-mail address that is checked regularly is required. Please make sure e-mail address is correct as this will be the primary method for original contact.

(1) Parent/Guardian First Name: *

(1) Parent/Guardian Last Name: *

(1) Parent/Guardian Phone Number (please enter in ###-###-#### format): *

(1) Parent/Guardian E-mail Address: *

(2) Parent/Guardian First Name:

(2) Parent/Guardian Last Name:

(2) Parent/Guardian Phone Number (Please enter in ###-###-### format):

(2) Parent/Guardian E-mail Address:

Student's previous school: *

Has the student previously been enrolled in a virtual school / classroom? *

Yes

If yes, what company was the curriculum provider?

Please explain the request for online learning. *If medical, please note that medical documentation is available. *

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