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Mott Middle College New Student Enrollment Application for 2024-2025 School Year
Please provide us with the following information below:
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Email
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Your email
Contact information: Please contact Diane Weeks at dweeks@geneseeisd.org for more information regarding enrollment.
Today's Date:
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MM
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DD
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YYYY
Student's LAST Name
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Your answer
Student's FIRST Name
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Your answer
Parent Name (First, Last)
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Your answer
Address
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Your answer
City
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Your answer
State:
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Choose
MI
Other
Zip Code
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Your answer
Primary Phone #:
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Your answer
Secondary Phone #:
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Your answer
Birth Date of Student:
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MM
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DD
/
YYYY
Current Age of Student:
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Your answer
Last/Current School Attended:
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Your answer
Last Grade Level Completed:
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Your answer
School District Student Lives In:
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Your answer
How did you find out about Mott Middle College?
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Family Members
Recruiters at Parent Teacher Conferences
Recruiters at Flint Farmer's Market
Student Visit to the School
Genesee Intermediate School District Website
Instagram
Facebook
Other Recruitment Event
Friends or Neighbors
Research
Other:
Required
Have you applied to Mott Middle College before? If so, When?
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Your answer
Why are you interested in attending Mott Middle College? (must be completed by student)
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Your answer
What is your Career Interest?
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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?
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Yes, I understand and fully agree.
No, I do not agree.
Please email the following documents to Diane Weeks, at dweeks@geneseeisd.org:
behavior report, attendance report, 8th grade report card, or high school transcript.
These items are critical to your application status.
Any questions? Submit here
Your answer
Thank you for applying to Mott Middle College High School for the 2024-25 School Year. We look forward to meeting you.
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