Request Information Form
For families interested in year of entry 2021-2022, please complete this form to be added to our communications and upcoming events. If you have multiple children interest in applying, please complete a form for each child.

For families still looking for placement for the 2020-2021 school year, limited space is available. Please complete this form and schedule a virtual admissions information session today.

Thank you for your interest in Mustard Seed School.

Kind regards,
Imaani F. Sanders
Director of Admission & High School Guidance
isanders@mustardseedschool.org
Student 1 Name *
Student 1 Current Grade: *
Student 1 DOB:
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Student 1 Current School:
Student 1 Apply Grade *
Student 2 Name
Student 2 Current Grade:
Student 2 DOB:
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Student 2 Current School:
Student 2 Apply Grade
Year of Entry
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Parent Name *
Preferred Email *
Preferred Phone #
Preferred Method of Contact *
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