Middle/Upper School Admissions Application

Apply to Grades 6-12 for 2025-26 or 2026-27

Please use this form to apply for admission to Grades 6-12. There are two questions the student shoud complete, and you can either include answers in this form or send to admissions@cislions.org. After you submit the application, the CIS Admissions office will contact you regarding next steps, including additional forms, the entrance exam, and a shadow visit/interview.

For current year enrollment in 2025-26, we will accept applications until January 9, 2026, for enrollment no later than January 31, 2026.

For enrollment in 2026-27, the initial application deadline is March 20, 2026. We will continue to accept applications after this date until grade levels are full.

Note regarding payment of the $70 application fee in this form: our payment processor Authorize.net accepts Visa, Mastercard and Discover - sorry, they do not accept American Express.

CIS believes a strong, cooperative partnership with families is a key component of student success, and this partnership begins at the applicant stage. If more than one parent or guardian has physical and/or legal custody of the student, both parents or guardians should be listed in this application and will be asked to sign an enrollment agreement before the student can be enrolled. This is our policy even when parents are divorced or if only one parent plans to pay tuition.

If you have any questions, please contact Kari in the CIS Admissions Office at admissions@cislions.org or (573) 777-9257.

Name of Student:*

First NameMiddle NameLast Name

Preferred Name:

Birth Date*

MonthDayYear

Gender*

MaleFemaleNon-binary

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Grade applying for: *

School year applying for:*

What is your student's race?

What is your student's ethnicity?

Is the applicant a U.S citizen? *

If no, is this student a permanent resident of the U.S.? (If yes, please submit copy of green card).

If no, is this student in the U.S. on a student visa? (If yes, please submit copy of visa).

Students requiring an I-20 must complete the International Student Application instead of this form.

Title*

Name:*

First NameLast Name

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number:*

Area CodePhone Number

Marital Status:*

Occupation

Employer

Email*

example@example.com

Relationship to Applicant:

Sole legal custody

I have sole legal custody for the child I wish to enroll, and I do not want to enter Parent #2 contact information. I understand I will be asked to provide custody documentation.

Title*

Name:*

First NameLast Name

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number:*

Area CodePhone Number

Marital Status:*

Occupation

Employer

Email*

example@example.com

Relationship to Applicant:*

Name of Current School:*

School Address (You may skip this if the school is located in Columbia)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

School Phone Number

Area CodePhone Number

Current Grade: *

Dates of Attendance:*

CIS Admissions Policy
Columbia Independent School admits students of any race, color, national and ethnic origin, and sexual orientation to all the rights, privileges, programs and activities generally accorded or made available to students at the school. CIS does not discriminate on the basis of race, color, national and ethnic origin, or sexual orientation in the administration of its educational and admission policies, scholarship and loan programs, and in-school or extracurricular activities.

Please answer the following questions completely and candidly. The information provided aids the admissions committee in determining whether or not Columbia Independent School can meet your child’s needs.

Please describe your child’s special interests or skills.*

Is your child multilingual? If yes, what other languages are spoken at home?*

Has your child received any assistance in the form of special education programming, including gifted and/or talented, behavioral intervention, or English as a Second Language instruction? If yes, please explain. *

Has your child been diagnosed with any learning differences or provided accommodations? Does your child currently have an IEP or 504 plan, has he/she had a plan in the past, or is he/she currently being evaluated for a plan?

Does your child have any health irregularities or allergies that might interfere with normal classroom and/or physical education activities? If yes, please explain.*

What are the reasons you are considering an independent school for your child? What do you believe your child might contribute to a school community? Are there particular skills or talents you hope will be cultivated at your child's next school?*

What experience has posed the biggest academic and/or extracurricular challenge for your child? How did/has your child responded to that challenge?*

Is there anything about the sequence of your child's schooling that we should know? Did your child skip or repeat a year? Was your child ever asked to withdraw from any school, suspended, or put on probation? If you answered yes to any of the questions above, please share the experience here. Were there particular things you or your child learned, gained, or changed as a result of that experience?*

If there is anything you wish to tell us about your child, but that you have not yet had an opportunity to share, feel free to use the space below to offer your thoughts.

Think about a person whom you admire (parent, relative, friend, athlete, famous person from history, character in a book, etc.). Please describe what you admire about that person and why.

Describe a personal challenge you have overcome or a personal accomplishment. How did you overcome the challenge or achieve the accomplishment?

COLUMBIA INDEPENDENT SCHOOL

STUDENT INFORMATION

Parent/Guardian #1

Parent/Guardian #2

EDUCATION

PARENT QUESTIONS

STUDENT QUESTIONS

Enter coupon