JHW Open Enrollment Application for 2023-2024 School Year

Janie Howard Wilson Elementary

Primary Years Programme

International Baccalaureate Candidate School

306 Florida Avenue, Lake Wales, FL 33853

www.janiehowardwilson.com

(863) 678-4211
- You must complete one application for each child you wish to enroll
- Enrollments are set by grade level, racial balance, and physical space
- Janie Howard Wilson Elementary School will give preference to students in the current attendance zone
- It is your responsibility to advise the school if you have a change of address and/or phone number
JHW Open Enrollment Application for 2023-2024 School Year
Student's Legal Name*

First NameMiddle NameLast Name
Student Social Security Number
Birth Date*

MonthDayYear
Gender*
Applying for Grade*
Ethnicity/Race*
Is your child Hispanic/Latino?

YesNo
Check ALL that apply*

Regular Education StudentSchool Employee's ChildBoard Member's ChildAlpha/Gifted StudentESE StudentESOL StudentOther
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Phone Number
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com
Parent/Guardian Email
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (If different from Home Address)

Street Address

Street Address Line 2

CityState

Zip Code
PRIORITIES - Please list any sibling(s) (brother, sister - half or step) in the same household that are currently enrolled at or applying to Janie Howard Wilson Elementary.
Sibling 1 Information

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
JHW Enrollment Status

Enrolled at JHWApplying/Waiting List
Sibling 2 Information

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
JHW Enrollment Status

Enrolled at JHWApplying/Waiting List
Sibling 3 Information

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
JHW Enrollment Status

Enrolled at JHWApplying/Waiting List
Sibling 4 Information

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
JHW Enrollment Status

Enrolled at JHWApplying/Waiting List
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Signature*

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