Jefferson County Public Schools

 Middle & High School
Optional & Magnet Program Application

Student and Household Information

This section is pre-populated from our records.
Student's Name: Sex: Date of Birth:
Last First Middle Suffix
Student's Address:
Street Apt. No. City State Zip Code
Category: Current School:
Name Relationship Home Phone No. Work Phone No. Cell Phone No. E-mail

Application Information

Please complete this section.
The primary e-mail address is where we will send information about this application's status.
 Grade Level: Primary E-mail Address:

Last School Attended

Complete this section if your child most recently attended a non-JCPS school. Otherwise, the information will be pre-populated.
Enter the name, city, and state of the school that the child most recently attended. This may be the school that the child is currently attending.
School Name:
City, State:

Optional/Magnet Programs and Magnet Schools

Please complete this section.
This section cannot be completed until you have selected an address and a grade.

Not Saved
Grade level not selected
Primary e-mail not entered
Enter last school attended
name, city, and state
Last school attended entered
First Choice not selected
Application not submitted