JIA Application for Enrollment

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Please complete the following form for each student applying for JIA programming.

The student and parent/guardian must answer the following questions together, since some questions require input from both perspectives. This survey is for informational purposes only and will not be scored. Answer the questions honestly to determine if online/blended learning is the best fit for the student.

Email *

Student Last Name *

Please enter the student's last name.

Student First Name *

Please enter the student's first name.

What grade are you applying for? *

Select the program for which you are applying. *

Full Time Online (Core & Elective Courses)

Part Time Online (Homeschool Partnership Elective Courses)

How did you hear about the programs at Jenison Innovation Academy? *

Radio Ad

Search Engine (Google, Yahoo, etc.)

Social Media (Facebook, Twitter, Etc.)

Word of Mouth

Other:

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