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 *
Your answer
Student's FIRST Name *
Your answer
Parent Name (First, Last) *
Your answer
Address *
Your answer
City *
Your answer
State: *
Choose
MI
Other
Zip Code *
Your answer
Parent Phone #: *
Your answer
Student Phone #: *
Your answer
Birth Date of Student: *
MM
/
DD
/
YYYY
Current Age of Student: *
Your answer
Last/Current School Attended: *
Your answer
What grade will you be going into for Fall 2025? *
Your answer
School District Student Lives In: *
Your answer
How did you find out about Mott Middle College? *
Required
Why are you interested in attending Mott Middle College? (must be completed by student) *
Your answer
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
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Genesee Intermediate School District.