Midland ISD Academy - Application for 2018-2019 (Petroleum, Health Sciences, Business/IT)

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Please complete the following information.

Email *

Student Details

Please complete the following information about yourself.

Student's First Name *

Student's Last Name *

Student's Current School *

Current Grade Level *

Student's School ID Number *

Street Address *

Zip Code *

Date of Birth *

YYYY

Gender *

I am applying for (select all that apply): *

MISD Petroleum Academy

MISD Health Sciences Academy

MISD Business/IT Academy

Required

My first choice for an Academy is: *

MISD Petroleum Academy

MISD Health Sciences Academy

MISD Business/IT Academy

Other:

My second choice for an Academy is: *

MISD Petroleum Academy

MISD Health Sciences Academy

MISD Business/IT Academy

I am only interested in my first choice.

Other:

How did you learn about the Academy? *

Parent/Guardian Details

Please complete the following information.

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Phone Number *

Parent/Guardian Email *

Electronic Signature

By entering your names and submitting this application, you agree to the terms below.

Agreement Information

I hereby agree that all information on this form and attached forms is true and correct to the best of my knowledge and give permission for my child to attend the Midland Academy if selected beginning their 9th grade school year in 2018-2019. I understand that there may be required courses specific to the Academy that are college level career development courses.

Student's Full Name *

Parent's Full Name *

If you are selected for the Academy you will be notified by May 1, 2018.

Send me a copy of my responses.

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