Online Application

Application for Grade *

Semesters *

Semester 1 & 2

Semester 1 Only

Semester 2 Only

School Year *

Student Information

Student Last Name *

Student First Name *

Student Middle Name

Student Preferred Name

Student Email *

Student Cell Phone *

Mailing Address *

City *

Province *

Postal Code *

Home Church (if applicable)

Church Address

Date of Birth *

Gender *

Citizenship *

Indigenous Ancestory

Registered/Treaty/Status

Non-status

Métis

Inuit

Parent/Guardian 1

Last Name *

First Name *

Are you an MCI Alumnus? *

Yes

Relationship to Applicant *

Email Address *

Home Phone *

Cell Phone *

If the mailing address is different from student

Mailing Address

City

Province

Postal Code

Parent/Guardian 2

Last Name

First Name

Are you an MCI Alumnus?

Yes

Relationship to Applicant

Email Address

Home Phone

Cell Phone

If the mailing address is different from student

Mailing Address

City

Province

Postal Code

If the student has siblings

SIBLING 1

Sibling Name

Age

Grade

Current School

SIBLING 2

Sibling Name

Age

Grade

Current School

SIBLING 3

Sibling Name

Age

Grade

Current School

SIBLING 4

Sibling Name

Age

Grade

Current School

Student Profile

What are your hopes/goals for attending MCI? *

Which of the following activities would you be interested in participating in at MCI?

MUSIC & DRAMA *

ATHLETICS *

STUDENT LEADERSHIP *

Accommodation & Transportation

Do you wish to live in the MCI Dormitory? *

Yes

Will you require daily transportation on the MCI van route? *

Yes

References

ACADEMIC REFERENCE

(Please as a current teacher, unless your child requires an IEF, please select a Guidance Counsellor or Resource Teacher)

Name *

Subject/Position *

Phone *

Email *

PERSONAL REFERENCE

(i.e. Youth Pastor, Ministor Coach, Private Lesson Teacher, etc.)

Name *

Subject/Position *

Phone *

Email *

ADDITIONAL REFERENCE

(optional)

Name

Subject/Position

Phone

Did someone refer you to MCI? *

Yes

If yes, provide referrer's first and last name