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Janesville International Education Program

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APPLICATION FOR ADMISSION

Instructions for completion:

  1. Please review the application and prepare your answers prior to completing the online form.  Gathering all the needed information ahead will save you time and help with accuracy of your submission.   Answers are not saved until all are complete and parent and student electronic signatures are applied at the bottom.  Once application has been submitted, changes can not be made to the original online application.  Corrections or additions can be emailed to jiep@janesville.k12.wu.us if needed. (to review please visit How To Apply)
  2. Please fully and completely answer all questions in English.
  3. Essay questions with longer answers do not have a character limit and have no "right" or "wrong" answers.
  4. ONCE YOU HIT THE SUBMIT BUTTON,  YOU WILL NEED TO SCAN AND EMAIL REQUIRED FORMS and send to jiep@janesville.k12.wi.us.  The required forms are listed within How to Apply page of the website. We can not process your application without these forms - please make sure your name is listed clearly on the required forms.
  5. Once your application and required document are submitted, it will be reviewed and you will be notified via email about acceptance.

Personal Information


Family Information


I Live With...
(please check all that apply)





Father
Mother
Siblings
Name Relation Age

Academic Information


Durring School I live at...
(please check all that apply)




Excellent
Good
Limited
Poor
Speaking
Reading
Writing

Interests and Activities





















































Placement Information


Please add any and all allergies you have (including food)

Written Responses


We want to know about you as an individual. Please reply to the following three qurestions. Use your own words. There are no "right" or "wrong" answers to these questions.

Statement of Agreement


We understand and accept that the School District of Janesville (SDJ), in making its selections and placements, does not discriminate on the basis of race, color, national origin, sexual orientation, religion or gender. We also understand that SDJ will try to house all students approved, but can only accept as many students as can be accommodated. Furthermore, we understand SDJ will try to accommodate our preferences regarding host family placement; however we understand that SDJ cannot guaranty preferences. We understand that SDJ families may be of any race, religion, structure, etc and that we must accept the host family that SDJ selects. I consent to SDJ using limited information including pictures from my son/daughter's application for promotional purposes. In addition, we authorize the release of medical and school information to SDJ. We do acknowledge that the information we have provided in the admission packet to be complete and accurate. With the signatures below the student agrees to follow SDJ's Code of Conduct and any serious breach of conduct may result in program cancellation or the early return of the applicant. ATHLETIC ELIGIBILITY OR PARTICIPATION IS NOT GUARANTEED. By typing our names in the signature lines below, we attest that all information has been given to the best of our knowledge and we agree to all the terms and conditions of the School District of Janesville.


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