WIMA Application for the 2023-2024 School Year

PLEASE BE AWARE:

This application will add your student to our waitlist for the SECOND SEMESTER of the 24-25 school year.

WIMA Application for the 24-25 School Year

Thank you for your interest in our program!

Our application is open from October 27th to February 29th at midnight, to be included in the lottery.

If applying after the deadline, students will be added to the waitlist in the order in which the application was received.

Our application is a TWO step process, which involves the following steps:

Step 1 - Complete WIMA Application

WIMA Application's Must Have:
- Student's Birth Certificate
- Student's Complete Immunization Records
- Parent/Guardian Driver's License
  - IF Driver's License Address DOES NOT have or match student's address - Proof of Residency will be needed in addition to your Driver's License/ID.
    
    Proof of residency can be ONE of the following: Mortgage Statement, Property Tax Statement, Section 8 Letter or Lease Agreement
    
    Bills are NOT able to be used as proof of residency
- Student's Current Grades
  - Home School Students - please complete this form for grades: Home School Report Card
- 23-24 NWEA Scores
If Applicable:
- Student's IEP/504 (if applicable)
- Divorce Decree/Separation Agreement/Custody Agreement (if Applicable)
- Adoption Paperwork (if applicable)
- Court Documents ex. Name Changes, PPO, etc. (if applicable)
Step 2 - Complete the Electronic Discipline Request Form

Link available at the end of the application.

All applicants must be in good behavioral and academic standings.

We reserve the right to unenroll or drop any student if it is determined that documents were falsified and/or if the application was knowingly falsified as it relates to any pertinent or relative required information.

Please contact Enrollment Coordinator, Kelly Cartwright, at kcartwright@wihi.org if you have questions.

Step 2 - Student Information:

Applicant's Information
Student's Legal Name*

First NameLast Name
Student's First Name ONLY for Power School:*
FIRST NAME ONLY - Can be a nickname
Student's Date of Birth:*

MonthDayYear
Date of Birth
Student's Birth Certificate:*

Browse Files
You may be asked to provide original once the student is accepted. Cancelof
If student was adopted and adoptive parents are not on birth certificate - attached adoption paperwork:

Browse Files

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Student Identifies as:*

MaleFemaleNon-BinaryOther
2024-2025 Grade Level:*
With whom does the student reside with:*
Student's Primary Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Proof of Residency(POR) Parent/Guardian Driver's License:*

Browse Files
If the address on your Driver's License matches the student's address, no further proof of residency documents are needed. If the address does not match, families will be required to provide proof of residency with a lease agreement or mortgage statement, property tax statement or if living with family or friends an Affidavit of Residency.. Cancelof
Second Mailing Address (for parents who have 50/50 custody)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Proof of Residency for families whose Driver's License Address DOES NOT match the student's AND name is not listed on Lease Agreement or Mortgage Statement:

If the parent/guardian's name is not listed on the lease or mortgage statement, an Affidavit of Residency form is required.

This form needs to be signed and notarized by the owner of the property and the parent/guardian applying.

Click this link for the: Affidavit Of Residency form

Families will want to click "save and continue later" once they have filled in all the information on the application.

From there the family will get this form signed and notarized, attach it to the application and then click "submit".

Applications submitted with blank forms will be deleted and families will need to reapply once they have all required documents available.

Sibling & Employees Information:

Siblings & Employees of WEOC are given priority when applying. Please make sure to list your information accurately, as siblings & employees will be verified.
Do you have a sibling currently attending WIMA/WIHI or Graduated from WIHI?*

Yes - a sibling is currently attending WIMA or WIHIYes - a sibling(s) Graduated from WIHINo
Sibling Information:*
Are you applying with a sibling (WIHI or WIMA) for the 2024-2025 school year?*

YesNo
Are you or another parent/guardian hired by WIMA/WIHI/WEOC?*

YesNo
If Yes, Name of Employee and Date of Hire*
Name & Date of Hire (MM/DD/YY)

Parent/Legal Guardian Information:

In the state of Michigan, a step-parent or guardian is considered a “legal stranger”, even when married to a biological parent. This means that they have no legal claim to children. The situation changes if a legal adoption takes place or the court has granted guardianship over the student. For this reason, step -parents and non-court ordered guardians can not sign the application or any school forms. All school forms must be signed by the student's legal parent/guardian. Any questions about this, please contact Enrollment Coordinator at Kcartwright@wihi.org.
Name of Parent/Legal Guardian #1*

First NameLast Name
Relation to Student*
Parent/Legal Guardian #1 Phone Number:*

Area CodePhone Number
Parent/Legal Guardian #1 Email*

Confirmation Emailexample@example.com - This email will be used for all communication. Please make sure it's accurate before submitting
Would you like to add information for another parent or legal guardian:*

YesNo
Name of Additional Parent/ Guardian #2*

First NameLast Name
Relation to Student*
Phone # for Parent/Guardian #2:*
Parent/ Guardian #2 Email*

Confirmation Emailexample@example.com - This email will be used for all communication. Please make sure it's accurate before submitting.
Parent/Guardian #2 Driver's License or State ID:*

Browse Files
Picture of the front and include the back if current address is not on the front Cancelof
Is there a custody agreement or divorce decree in place for the student applying?*

YesNoIn Process
If Yes, Please attach Divorce Decree/Separation Agreement/Custody Agreement:*

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Parents who are divorced or separated and there is a court order document determining who has custody of the student and/or who is able to make educational decisions for the student, please attach it for review. We do not need the full decree. We only need the first page with all parties listed, the page(s) that include student custody and educational rights and the last page with all signatures. Any questions, please contact Kelly Cartwright at kcartwright@wihi.org Cancelof
NAME CHANGE DOCUMENTATION- if a parent/legal guardian or Student has completed a Name Change, please attach court/legal documentation here:

Browse Files
examples: divorce, re-married, privacy/protection, etc. Cancelof

Student's Health & Immunization Information
Vaccines Required for School Entry In Michigan
Student's Current Immunization Records or Waiver Info:*

Browse Files
From doctor's office or health portal . As of February 2023 - If your student has a WAIVER, please upload a document that states the date the waiver was completed and the county it was completed in. We will pull this information from their database. Cancelof

Current School Information:

YIES students are given priority when applying to WIMA, as long as the application is completed by the application deadline. After the deadline, all students (including YIES) will automatically be added to the wait list in the order in which their application was received and application requirements completed.
Name of School Currently Enrolled in:*
Local district schools are listed by district, then alphabetically - check all district options before selecting "other" Charter, Private & Homeschool Options are listed within the district schools alphabetically
If Other, Name of School:*
Please list full name, not initials of School
Is this school a Private, Charter or Online School?*

YesNo
Does this school reside outside of the USA:*

YesNo
For Home School Students Only:

Please complete this form in place of attaching grades.

Home School Grade Report
School Enrollment/Registrars Email: *

Confirmation Emailexample@example.com
What school district does the student live in?*
The school district in which you (or your landlord) pays property taxes
If Other, please list the school district:*

School of Choice Information:

For Families who live outside of the Ypsilanti School District:
What is the name of the local public Middle School in the District where your home is located?*
PLEASE DO NOT LIST WIMA - You can check Zillow or your property tax statement for this info. Examples: YCMS, Lincoln, Clague, etc.
NEW TO DISTRICT ENROLLMENT REQUIREMENTS:

If the student is accepted through the lottery and currently lives outside of the Ypsilanti School District, families will need to complete the School of Choice application. The link will be provided on your thank you note, once the application is submitted.
I have read and understood what will be required in regards to district registration outlined above and agree to register with the district, if necessary: *

Clear

Student Documents:

Progress Report, Report Card or Online Print out of current 2023-2024 classes and grades
Upload a PDF or Jpeg copy of the student's MOST RECENT 23-24 Progress Report, Report Card or PowerSchool Print out:*

Browse Files
PDF or JPEG Only. If you do not have current grades yet, please click save at the bottom, and attach and submit once available Cancelof
NWEA Scores
- Students who have 2023-24 NWEA scores or another current Michigan Standardized test score results will need to attach fall scores for the application and spring scores by June 30th.
- Students who do not have or do not attach current NWEA scores or another current Michigan Standardized test score results, will be required to attach their final report card by June 30th.
Does the student have fall 2023-24 or winter/spring 24-25 NWEA Scores?*

YesNo
Please attach results: *

Browse Files
If Attached, no skills assessments will be required Cancelof

Course Selections
6th Grade Students - there are no course selections needed. All 6th grade students will take band and art classes throughout the school year. Please select "6th Grade" listed below.
Course Selection:

6th Grade7th Grade - Theater7th Grade - Band8th Grade - Theater8th Grade - Band
The 7th or 8th Grade student: (Please check all that apply.)*

Plays an instrument with your current schoolPlays an instrument outside of school

Affirmation of Prior Discipline
Click this link to complete our: Electronic Discipline Request Form.

All applicants must have a completed Discipline Request Form & application in order to be included in the lottery and/or be added to our waitlists.

All applicants must be in good behavioral and academic standings in order to be considered for a spot.

Once you complete the link to the form, click back to this tab and click the "next" button below to move on to SUBMIT your application.

If you do not click submit on this application, your student will not be considered for a spot at WIMA, as we will not have their application.

Families MUST complete BOTH the application and discipline request form.

Getting to know you:
How did you hear about us?*
Are you applying to other programs as well?*

YesNo
If Yes, what other schools/programs have you applied to:*
I, as the Parent/Legal Guardian of the student mentioned above ensure the information included in this application is accurate to the best of my knowledge and if accepted I give permission to register my student using the information provided once I have officially has accepted the spot: Signature*

Clear
It's strongly suggested that families click the "SAVE" button below prior to officially submitting the application, just in case something goes wrong and/or to verify all required fields have been completed.

Once you have SAVED your application, please click on the link in your email to log back into your application and then click the SUBMIT button below to apply.

FYI

You will know your application went through by three ways:

1.) A "Thank You" will pop up as soon as you submit - make sure your popup blocker is off.

2.) You will get an immediate email response with a copy of the application and a link to edit this application if need. Please check your junk/spam folder if you don't see it.

KEEP THIS EMAIL!!!!!!

This is your proof the application was submitted and will be used later on in the process.

If you do not get a pop up thank you note, please scroll up and look for anything highlighted in RED. Please fix that and then click submit again.

If you have any questions, please feel free to contact Enrollment Coordinator, Kelly Cartwright at kcartwright@wihi.org for the fastest response or call/text her at 734-544-5426. Office hours are Monday - Friday 9am - 4:30pm.

Thank you again for your interest in our program!
Should be Empty:

Step 2 - Student Information:

Sibling & Employees Information:

Parent/Legal Guardian Information:

Student's Health & Immunization Information

Special Education Services

Current School Information:

School of Choice Information:

Student Documents:

Course Selections

Affirmation of Prior Discipline

Getting to know you: