Please submit this application with the nonrefundable application fee of $100 to the MIDS Administrative Office.

MIDS does not discriminate on the basis of race, color, religion, and ethnic origin in the administration of its educational policies, admissions policies, and other programs

    Application for admission to Grade

    PK4K12345678

    Desired month and year of enrollment:

    How did you learn about MIDS?

    Is this your first application to MIDS for this child?

    yesno

    If no, year applied:

    Applicant’s name:

    Applicant's date of birth:

    Sex:

    FemaleMale

    Home address:

    Present school:

    School address:

    Dates of attendance:

    Present grade/class/form:

    Previous schools (name of school and dates attended):

    Parent 1 Info

    Name of Parent (1):

    Relationship to applicant:

    Occupation:

    Title:

    Employer:

    Work telephone:

    Work address:

    Contact Number:

    e-mail:

    FAX:

    Parent 2 Info

    Name of Parent (2):

    Relationship to applicant:

    Occupation:

    Title:

    Employer:

    Work telephone:

    Work address:

    Contact Number:

    e-mail:

    FAX:

    Please type your full name in the below:


    Application Fee

    Name of Applicant