Thank you for taking the time to complete this Student Data Form. This information is necessary for us to provide all of our students with a safe and productive learning environment. All students registered at JRTI must have this information on file.

Please note: This online form has four screens. You may navigate forward and backward once the required fields have been filled out, but the form must be fully completed before clicking the “Submit” button on the last screen.


  1. Make sure you are using a modern browser such as Chrome, FireFox, Safari, or Edge. Older browsers are not supported.
  2. Please fill out this online form as completely as possible. All fields marked with a red asterisk (*) are required.
  3. After you submit this form, check your email for a response.
  4. Download the two-page signature form regarding school policies. This form is required to complete registration.
    1. Refer to the Resources section of this website for policy information.
    2. Print the signature form, and return it to JRTI with all of the required signatures.
    3. The signature form can be submitted in person or mailed to:

James Rumsey Technical Institute
3274 Hedgesville Rd
Martinsburg, WV 25403

Student Information

If you are an adult or homeschooled, you may not have an ID number yet. If this is the case, please enter "none yet."

School Information