MSI Online Student Application Form
Note: Completion of this form does not guarantee enrollment. Acceptance is based on space by grade level--some grade levels may be full. In addition, a student enrollment package must be completed and returned before a child is officially enrolled. The package can be picked up at our office or downloaded from our website at
This application is for which school year? *
Parent/Guardian Name *
Please enter the parent/guardian name.
Your answer
Street Address *
Please enter the street address.
Your answer
City *
Please enter the city.
Your answer
State *
Please enter the state.
Your answer
Zip *
Please enter the zip code.
Your answer
Please enter an eMail address if available.
Your answer
Home Phone
Please enter a home phone number including area code if available.
Your answer
Mobile Phone
Please enter a mobile phone number including area code if available.
Your answer
Student First Name *
Please enter the student's first name.
Your answer
Student Last Name *
Please enter the student's last name.
Your answer
Student Current Grade Level *
Please enter the student's current grade level.
Student Grade Level for the 2019-2020 School Year *
Please enter the student's grade level for the 2019-2020 school year.
Siblings and Age of Siblings
Please enter the names and ages of any siblings.
Your answer
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