University School of Jackson

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A one-time application fee of $100 will be applied following the submission of the application. 

Your application will not be processed until payment has been completed successfully.



If > 1 yrs, include months


If none, use "N/A"


Family Information

If none, "N/A"

If none, "N/A"


This will be considered the primary email address for correspondence relating to this student.

Indicate current school, grade, and age, if applicable.

Grandparents (Information is for Grandparents' Day and appropriate mailings)

(Street, City, State, and Zip)



For Students Entering Jr. Cubs-Grade 5

For Students Entering Grades 6-8

If applicable, include specific events and accomplishments, such as theater, athletics, music, art, etc.

For Students Entering Grades 9-12

Please list any activities in which you have participated and special awards you have received. For each activity listed, please indicate years of participation and positions held.

Band/Orchestra (indicate instrument), Choral (indicate vocal part), Theater, Visual Arts, Other

Baseball, Basketball, Cheerleading, Cross Country, Football, Golf, Soccer, Softball, Tennis, Track, Volleyball, Other

Student Essay

We would like to learn more about you and provide you with the opportunity to express yourself in writing. Please review the following questionnaire writing prompts and choose one of the prompts for your essay. Your essay should be no less than 250 words in length, and we ask that you use proper spelling and grammar. It may be typed or hand-written.

  • Tell us about a time you struggled. How and what did you learn from your experience?
  • Tell us about a time you stood up for something you believed in. Why did you make the choice(s) you did?
  • Tell us about a time you had to resolve a conflict.
  • Tell us about a time you changed your mind about something you had believed previously. What convinced you to do this, an why did you ultimately decide to do it?
only .pdf and .doc(x) filetypes allowed


For More Information

Laura Moore
Director of Admissions

[email protected]


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