SY2024-2025 Myron B. Thompson Academy Secondary New Student Application- WAITLIST

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete one online application per student applicant. A confirmation email will be sent to the parent email address provided on this form. As a reminder, students will not be able to attend school without the following:

1. A current Tuberculosis (TB) clearance (within one year of the first day of school), AND
2. A completed Department of Education Student Health Record (Form 14) which includes a physical examination and all required immunizations OR a signed statement or appointment card from your child's physician.

Student's Last Name: *

Student's First Name: *

Student's Middle Initial Only:

Student's Date of Birth: *

Please enter in the following format: MM/DD/YYYY and make sure birth year is accurate. Thank you.

YYYY

Clear form

Never submit passwords through Google Forms.

This form was created inside of Myron B. Thompson Academy. Report Abuse

Forms