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MHPSAS Enrollment Form
NOTE: This submission is a short interest form that requires more information. Once this form is submitted, we will contact you for next steps. Main Office phone is 231.830.3703.
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* Indicates required question
Email
*
Your email
School Year
*
Please select the school year in which your student will begin attending.
Fall 2024-2025
Spring 2024-2025
Student Information
Student's legal name is required as listed on the Birth Certificate. (First Middle Last)
*
Your answer
Complete Home Address - House number, Street, City, State & Zip Code
*
Your answer
Primary Telephone Number
*
(Please Use Format: ###-###-####) This can be a number to receive text alerts.
Your answer
Student Cell Phone Number
(Please Use Format: ###-###-####)
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Gender
*
Please select F for Female or M for Male
F
M
Grade Entering
*
For Kindergarten, please select 0.
0
1
2
3
4
5
6
7
8
9
10
11
12
Does your child receive special educational services?
*
Yes
No
What is the primary language used in your home?
*
English
Spanish
Mandarin
French
Other
Is your student Hispanic or Latino?
*
Yes
No
What is your student's race? (Please check all that apply)
*
American Indian or Alaska Native
African American (Black)
Asian American
Hispanic or Latino
Native Hawaiian/Pacific Islander
Caucasian (White)
Other
Required
Does your family reside in permanent housing?
*
Yes
No
Previous School Attended with City, State & Zip
*
Your answer
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