Magnolia Community Academy Student Application Form

Magnolia Community Academy Application Form
Student Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Age
Place of Birth
Gender

MaleFemale
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade Level
School Year
School Last Attended
Parent/Guardian's Information
Parent/Guardian's Name - Primary

First NameLast Name
Occupation
Phone Number
Please enter a valid phone number.
Parent/Guardian's Name - Secondary

First NameLast Name
Occupation
Phone Number
Please enter a valid phone number.
In case of emergency, who will be notified? Please answer the fields below:
Emergency Contact Person

First NameLast Name
Emergency Phone Number
Please enter a valid phone number.
File Upload

Please upload a copy of your student's birth certificate, a copy of at least one parent's photo ID, report card from the previous school (if applicable), a letter of good moral standing, health information form, and immunization record or immunization exemption form.
Upload
Admissions Questions
What led you to consider Magnolia Community Academy for your student? Are you considering other schools for your student?:*
How will your student benefit from attending Magnolia Community Academy?*
Can you tell us about any special needs or considerations that the student may have?*
Tell us about your student’s social skills and relationships with peers?*
Reminders
All Applicants will be assessed a non-refundable $100 application fee before student interview will be scheduled.

TEST. The school requires new students or a transferee to take a placement exam in order to gain admitted to the school.

INTERVIEW. The school admin will conduct an interview with the student as part of the screening application.

REQUIREMENTS. It is important to pass and complete all requirements before school starts. Failure to do so may delay the student from coming to school.

MEDICAL CLEARANCE. The school required all students to have a yearly physical exam. For new students, medical clearance from their doctor is required.

BEHAVIOR. A certificate of good moral is required in order to get admitted to this school. Transitional kindergarten and Kindergarten enrollees may request this from any previous daycare or preschool administration. First grade and above please request it from the previous school as soon as possible.
Date Signed

MonthDayYear
Date
Parent/Guardian Signature

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Magnolia Community Academy Application Form

Parent/Guardian's Information

File Upload

Admissions Questions

Reminders