F-1 Visa Student 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 cannot be made to the original online application. Corrections or additions can be emailed to jiep@janesville.k12.wi.us if needed.
    Please fully and completely answer all questions in English. Essay questions with longer answers do not have a character limit and have no "right" or "wrong" answers. ONCE YOU HIT THE SUBMIT BUTTON, YOU WILL NEED TO SCAN AND EMAIL REQUIRED FORMS and send to jiep@janesville.k12.wi.us. We cannot process your application without these forms - please make sure your name is listed clearly on the required forms. Once your application and required documents are submitted, it will be reviewed and you will be notified about acceptance.

Family Information

Check all that apply

Father's Information

Mother's Information


Academic Information

Please check all that apply​

Estimate your English Language Skills

Interests and Activities

Placement Information

Written Responses

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

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 guarantee 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.