If you are not a resident of one of our Consortium Member Districts, you must have Open Enrolled to JEDI during the open enrollment period last schoolyear or will be required to pay out- of -district tuition fees to attend JEDI Virtual.
Submit this form to be considered for enrollment to the JEDI Virtual School. JEDI staff will contact you to confirm receipt.
STUDENT DEMOGRAPHICS (Please check all that apply.)
High School Middle School Elementary School ...... Current Grade Grade K 1 2 3 4 5 6 7 8 9 10 11 12
Home Schooled Currently enrolled in a district school ......... Current Age Age 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
Email Address
Parent Name(s)
Best Day/Time to contact you
Home Phone
Parent Phone
Cell Phone
Parent E-Mail Address
Graduating Class Of
Contact Person
District Contact E-Mail
I have spoken with a counselor or other district staff about application the the JEDI Virtual School.
I have NOT spoken with district staff regarding application to the JEDI Virtual School.
COURSE REQUEST INFORMATION
Indicate Semester 1 2 Note:
Parent Signature
Student Signature
Date mm/dd/yyyy
by checking this box you have created an electronic signature as legally binding as your handwritten signature
