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

No

Relationship to Applicant *

Email Address *

Main Contact Number *

Other 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

No

Will you require daily transportation on the MCI van route?

Yes

No

If you require daily transportation on the MCI Van Route, please choose

Pick Up Location:

References

Name *

Subject/Position *

Phone

Email

Name *

Connection/Relationship *

Phone

Email

ADDITIONAL REFERENCE

(optional)

Name

Subject/Position

Phone

Email

Did someone refer you to MCI? *

Yes

No

If yes, provide referrer's first and last name

Mennonite Collegiate Institute offers an educational experience in a Christian community. We expect students to adhere to the guidelines described in the Academic Handbook, Res Handbook & Code of Conduct.

(These documents can all be found on our website: www.mciblues.net)

As a student at MCI, I agree to:

Show respect for the school’s religious values and practices. We expect students to attend daily chapels and the appropriate Religion classes and to show respect for other students’ spiritual experiences.
Show respect for all students and staff ensuring a safe and caring environment for everyone. MCI will not tolerate actions that are harmful to other persons, which undermine the health of the MCI community or which seriously disrupt the educational activities of the school.
Exercise diligence in attending classes and completing academic assignments.
Refrain from the use of tobacco, alcohol and illegal drugs.
Demonstrate a willingness to work together with other students, teachers and other staff members, to resolve
conflicts when they arise and develop an environment in which everyone can grow towards their potential as described in the Mission Statement.

Do you agree to abide by the guidelines as stated above? *

I agree