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Admission Application

Please complete the form below. All fields are required. Mark N/A where applicable

Please indicate what school you’re applying for?
Mater Academy
Mater Academy Charter Middle School
Mater Academy Charter High School
Mater Academy East Charter School
Mater Academy East Charter Middle School
Mater Academy East Charter High School
Mater Academy High of International Studies
Mater Academy of International Studies
Mater Academy Middle of International Studies
Mater Academy Lakes Middle
Mater Academy Lakes High School
Mater Academy Miami Beach
Mater Brickell Prep Academy
Mater Gardens Academy Elementary School
Mater Gardens Middle School
Mater Grove Academy
Mater Performing Arts and Entertainment Academy
Student’s Information
Last name : First name :
Middle name :
Student's birth date : ^(MM/DD/YYYY)
Future Grade : Current school :
MDCPS Student ID Number :
Student's Address
Street address :
City : State : Zip :

Siblings currently attending Mater Academy

1. Last name : First name :
Current Mater Academy Location :
Birthdate : MDCPS ID Number :
2. Last name : First name :
Current Mater Academy Location :
Birthdate : MDCPS ID Number :
3. Last name : First name :
Current Mater Academy Location :
Birthdate : MDCPS ID Number :

Parent/guardian contact information

Parent's/Guardian’s First & Last Name :
Relationship to student :
Parent's / Guardian’s Home Phone # :
Parent's/ Guardian’s Work Phone # :
Parent's /Guardian's email address :

Is your child attending a private school? Yes No
If yes, please attach the most recent report card

Agreement of understanding

by submitting this application, I am acknowledging my understanding of the following conditions of this application
1. Priority is given to applicants with siblings who are currently enrolled at the same school site as thier sibling school.
2. A random selection will be utilized to admit eligible students.
3. Failure to respond by the date specified on the acceptance letter will be interpreted as a parent/ guardian decline of acceptance.
4. This application becomes void at the end of the current school year.
5. If accepted, you will be invited to a mandatory orientation meeting.
6. Parent or Guardian will arrange transportation for student(s) to and from school unless the School is required by law to provide transporation.
2. Parent/Guardian Name : Date :

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7901 Northwest 103rd Street, Hialeah Gardens, FL 33016 • Phone: (305) 828-1886 • Fax: (305) 828-6175

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