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Returning Student Online Enrollment

re-enrollment

South Central Michigan Virtual (SCMV) makes the re-enrollment process easy.

How to Re-Enroll

Complete the online form below or download the re-enrollment form

Have questions? Request more detailed information about the re-enrollment process.

South Central Michigan Virtual Re-Enrollment Form

Semester*
- Fall
- Spring
- Summer
Student Information
Student Name*
As it appears on the birth certificate.
First Middle Last
Student Home Address*
Street Address City State Zip
Gender*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
Grade*
Ethnicity*
If more than one, check all that apply
- Hispanic / Latino
- American Indian / Alaskan
- Native Hawaiian / Pacific Islander
- Asian
- White
- Black or African American
Responsible Party*
Name of Parent or Guardian Student Lives With
First Last
Relationship of Responsible Party to Student*
Student Home Phone*
Student Cell Phone
Best # to receive text messages at
Student Email Address
Preferred method of communication*
- Text
- Phone
- Email
Prior School Name*
Prior School Address*
Street Address City State Zip
Does your child currently receive special education services?*
- Yes
- No
Does your child have an active IEP?*
- Yes
- No
What is your child's certification?*
Residency Information*
- Resident of JPS District
- Non-Resident
District of Residency*
County of Residency*
Is student a School of Choice student?*
- Yes
- No
Has student attended JPS in the past?*
- Yes
- No
When did they attend JPS? (mm/yr)*
Head of Household Contact Information
Female Head of Household
Male Head of Household
Name / Relationship
Name / Relationship
Home Phone
Home Phone
Cell Phone
Cell Phone
Email
Email
Address
Street Address City State Zip
Address
Street Address City State Zip
Certification of Truthfulness - By signing this document I certify that all statements on this student registration form are made truthfully and without evasion, and further understand and agree that such statements may be investigated and if found to be false, will be sufficient reason for possible removal of this student from enrollment in the Jackson Public School District and may result in legal action.
Signature of Parent/Guardian

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1060 Jackson Crossing ~ Jackson, MI 49202

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Monday - Friday 9am - 4pm

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Meet Our Staff
Directory
Testimonials
How To Enroll
Students
Parents
Counseling
Contact
Facebook
Twitter

South Central Michigan Virtual

Ready to Enroll?

South Central Michigan Virtual (SCMV) makes enrollment in online classes easy!