Thomas Jefferson School :: Admissions

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Student Information
Student’s Name:
Student’s Age:
Gender:	Male Female
Current Grade:
Current School:
Grade Applying for:
Desired Entry Date:
Desired Status:

Parent or Guardian Information
Parent or Guardian Name:
Address:
City:
State:
ZIP Code:
Email:
Phone:

Additional Information
Person completing this form:
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Thomas Jefferson School admits students of any race, color, religion, sex, or national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students of the school. It does not discriminate on the basis of race, color, religion, sex, or national and ethnic origin in administration of its educational policies, financial-aid programs, and athletic and other school-administered programs.