Apply | Jefferson Honor Academy

Application for Admission

Academic Year 2026–2027. Fields marked * are required. Please do not enter Social Security numbers or payment information.

1. Student Information

Full legal name *Preferred name Date of birth *Gender Current grade level *Applying for grade * Nationality * Passport Number (international students; enter N/A if not applicable) * Passport photo page (with photo) * JPG, PNG or PDF, max 5 MB. Required unless you entered N/A for passport number.

Privacy: passport information is used only for admissions and enrollment processing.

Country of residence * Home addressCity * State / ProvinceZIP / Postal code Student emailStudent phone

2. Parent / Guardian Information

Parent/Guardian 1 name *Relationship to student * Email *Phone * Parent/Guardian 2 nameRelationship to student EmailPhone

3. Academic Background

Current / most recent school *School type * Has the student ever been suspended or expelled? * English Placement Test If the student was suspended or expelled, please explain

We will contact you to collect the latest report card or transcript.

4. Program of Interest

Preferred start

5. Questions & Notes

Why do you want to join Jefferson Honor Academy? * What are the student's academic strengths and interests? Does the student have any learning needs or accommodations we should know about? (Optional; please share only what is helpful.) How did you hear about Jefferson Honor Academy? Questions or notes for the Academy

Jefferson Honor Academy admits students of any race, color, and national or ethnic origin.