2024-2025 JCS Manzanita                               Potential Student Interest Form
IF YOU ARE NOT READY TO APPLY AND JUST WANT MORE INFORMATION,
please email Ginny Herkert at gherkert@jcs-inc.org.

TO APPLY:

Please complete our JCS Manzanita student interest form for the 2024-2025 school year.  We will need a separate form completed for each student you are applying for.  In the event that a spot is offered to your student, this information is used for registration.  Please include the email address you would like registration and ALL school communication to go to. 

Once you apply we will email you more information about our school and let you know if we have room in the program you are applying for or ask if you would like to be on our waitlist. 

If you are offered a space, online registration will be sent from registrars@jcs-inc.org ONCE FAMILIES CONFIRM ACCEPTANCE.   Registration will need to be completed within 10 days to secure your students spot at JCS Manzanita.

You can find information about us at our website manzanita.jcs-inc.org and at our JCS Family website at jcs-inc.org as well as our Instagram and Facebook pages.  

Please contact Ginny Herkert at gherkert@jcs-inc.org if you have any additional questions.      

Thank you for considering JCS Manzanita as your school of choice!
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Email *
Program Preference.  Please note, TK & High School are only offered in a Home Study option. *
Student's First and Last Name
(Name on the Birth Certificate)
 *
Date of Birth *
Grade for the 2024-2025 school year *
Parent/Guardian Name(s). Please include primary contact first.  

(Any custody agreements will need to be supplied during the registration process.)
 *
Full Address (Please include NUMBER &STREET, CITY, Zip Code) *
Primary Parent/Guardian phone number *
Current School of Attendance *
Has your student ever attended a JCS Academy or JCS Home Study program? *
Has your child ever been suspended or expelled? *
How did you hear about JCS Manzanita?
Thank you for your interest in JCS Manzanita!  

Once you apply we will email you more information about our school and let you know if we have room in the program you are applying for or ask if you would like to be on our waitlist. 

If you are offered a space, online registration will be sent from registrars@jcs-inc.org ONCE FAMILIES CONFIRM ACCEPTANCE.   Registration will need to be completed within 10 days to secure your students spot at JCS Manzanita.

You can find information about us at our website manzanita.jcs-inc.org and at our JCS Family website at jcs-inc.org as well as our Facebook and Instagram pages. 

Please contact Ginny Herkert at gherkert@jcs-inc.org if you have any additional questions.      

Thank you for considering JCS Manzanita as your school of choice!


A copy of your responses will be emailed to the address you provided.
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