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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.
Indicates required field
How did you hear about My City School?
Professional - please specify name in other
If Other please specify:
Does your child currently struggle with or been diagnosed with any of the following?
Dysgraphia (Fine Motor Skill challenge)
Memory Recall Challenges
Dyscalculia (math/number sense challenge)
Auditory Processing Challenges
Fine Motor Skill Challenges - (poor handwriting)
Expresive Language Challenges
Visual Processing Challenges
Visual Spatial Challenges
Executive Functioning Challenges
Social Challenges/Social Pragmatics
Self/Emotional Regulation Challenges
Low Self Esteem
Self Harm (either spoke of or acted on)
Processing Speed Challenges
Others - Please specify
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?
Do both parents feel it's necessary for the student to find a different learning environment?
Please check what kind of assessments your child has had:
Occupational Therapy Assessment
Pediatrician ADD/ADHD assessment
Other - please specify in the below field
Tell us about your child...
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.
Top 5 activities your child loves/likes to do
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.
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