please print legibly in blue or black ink. application will not be accepted if not complete.
Student Information Last:
First:
Date of birth
Student # if known:
Current address:
City:
State:
ZIP Code:
Grade:
Current school:
Primary Parent/guardian Information
Mother/Father/Guardian (Last name, first name)
Address (if different from above)
Phone:
City:
State:
ZIP Code:
Email address is required: subject teacher name
Language Arts
Math
Science
Social Studies
Supplemental information
Interested applicants from outside the Clay County Public School system must submit a copy of the following documents:
Most recent report card
FCAT or other standardized test scores application checklist
1. _____ Complete Application (no empty boxes)
2. _____Copy of most recent report card (private and out of state students)
3. _____Copy of standardized test scores for 7th grade ( SAT, Stanford or other standardized test for private and out of state students)***
4. _____Teacher recommendation forms given to teachers on time
5. _____Submit by January 27, 2014
Return your application packet in a sealed manila envelope to:
Mrs. Gina Davis, AICE Coordinator Fleming Island High School 2233 Village Square Parkway Orange Park, Florida 32003
Clearly labeled and addressed packets may be dropped off at the receptionist’s desk at FIHS
By signing this form you agree that you have read and agree to abide by all of the