Follow the steps to successfully complete your enrollment application.

1. Click ‘Get Form’ button to initiate the process and access the Leap Academy Enrollment Application in your preferred format.
2. Begin by entering the applicant information. This includes the full name of the applicant, ensuring to include the last, first, and middle initial, and avoiding the use of nicknames.
3. Provide the current mailing address of the applicant, making sure to fill in the street, city, state, and zip code fields accurately.
4. Enter the applicant's Social Security number in the corresponding field for identification purposes.
5. Select the applicant's gender by marking the appropriate option.
6. Fill in the applicant's date of birth, using the specified format (month/day/year). Remember that proof of age will be required upon retirement.
7. Provide a daytime phone number where the applicant can be reached, ensuring to include the area code.
8. Indicate whether the applicant is currently receiving benefits from a New Jersey State-administered retirement system, and if so, include the name of that system.
9. Enter the employer information, starting with the full name of the employer and the county in which they are located.
10. Complete the location, bureau, and payroll numbers as applicable, based on relevant employment records.
11. Provide the title or position of the applicant within the organization.
12. If the applicant works for multiple public employers, indicate this and provide the names of all employers.
13. For TPAF applicants, fill out specific employment dates and certification requirements based on the applicant's employment history.
14. For PERS applicants, provide relevant employment dates and salary information as required by the application.
15. Finalize the form by having the human resources representative complete their name and contact information.
16. The certifying officer must sign and date the application to validate it. Remember that unsigned applications will be returned.
17. Once all fields have been accurately completed, review the application for any errors or omissions before submitting.
18. Save your changes, then follow the appropriate option to download, print, or share the completed application as required.

Take the time to complete the Leap Academy Enrollment Application online today for a seamless enrollment experience.