Application

School child currently attends (Please include grade enrolled): *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Please tell us more about what your child's struggle looks like. *

Please rank your child's learning challenges from most impactful to least impactful. *

Is your child aware of thier learning differences or challenges? *

Yes No Somewhat

Do both parents feel it's necessary for the student to find a different learning environment? *

Yes No Not Sure

Please check what kind of assessments your child has had: *

Psychoeducational Evaluation Occupational Therapy Assessment Neuropsychological Assessments IEP/Progress Reports Pediatrician ADD/ADHD assessment Other - please specify in the below field

Tell us what your child is successful with in school *

What subjects does your child struggle with in school? Please rank them from most difficult to easiest. *

What are you looking for in an educational environment? *

Has your child ever been suspended or removed from school? If you answered yes, please explain. *

By typing both parent signatures below, I hereby certify that the above statements/information is true and correct to the best of both parents knowledge. *

APPLICATION for ENROLLMENT

The critical information below helps the team at MCS best determine how to partner with parents to support the WHOLE CHILD. There is a $175 fee for processing all applications. Fees will be billed upon the completion of the application process.