Mott Middle College New Student Enrollment Application for 2025-2026 School Year
Please provide us with the following information below:
Sign in to Google to save your progress. Learn more
Email *
Contact information: Please contact Michelle Cadle at mcadle@geneseeisd.org for more information regarding enrollment.
Today's Date: *
MM
/
DD
/
YYYY
Student's LAST Name *
Student's FIRST Name *
Parent Name (First, Last) *
Address *
City *
State: *
Zip Code *
Parent Phone #: *
Student Phone #: *
Birth Date of Student: *
MM
/
DD
/
YYYY
Current Age of Student: *
Last/Current School Attended: *
What grade will you be going into for Fall 2025? *
School District Student Lives In: *
How did you find out about Mott Middle College?   *
Required
Why are you interested in attending Mott Middle College? (must be completed by student) *
This form serves as permission to release student records to Mott Middle College deemed necessary by the enrollment team during the acceptance process. Do you agree to these terms? *
Please email the following documents to Michelle Cadle, at mcadle@geneseeisd.org: 

Behavior report and 8th grade report card or high school transcript.
Thank you for applying to Mott Middle College High School for the 2025-26 School Year. We look forward to meeting you.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Genesee Intermediate School District.

Does this form look suspicious? Report