Admission Application- English | Miami Community Charter School

Middle/High School

18720 SW 352nd street

Florida City, FL 33034

Phone (786) 243-9981

Fax (786) 217-6804

E-mail: lescobar@mccsedu.org

Admission Application - Middle/High School - English

School Year:*
- 2020 - 2021
- 2021 - 2022
Mark your choice if the application is for one of these advance programs:
- Information Technology Microsoft Academy
- Digital Design
- Web Development
- Bilingual Program
(Review the important information below before choosing the advance programs)
1. Student’s Last Name: *
2. Student’s First Name: *
3. Middle Name:
4. Student’s Birth date (MM/DD/YYYY): *
5. Current Grade:
6. MDCPS Student ID Number:
7. Siblings currently attending MCCS:
8. Student’s Address – Number & Street:
9. Apt. #:
10. City:
11. Zip Code: *
12. State:*
13. Parent’s/Guardian’s
FirstLast
14. Relationship to student:
15. Parent’s/Guardian’s Home Phone # (with area code):
16. Parent’s/Guardian’s Work Phone # (with area code):
17. Parent’s/Guardians’ email address:
18. School Student Currently Attends:
19. Is your child attending a private school?
- Yes
- No
If the answer is “YES” please fax or email the most recent report card to: Fax #: (786) 217-6804
Agreement of Understanding
By signing below, I acknowledge my understanding of the following conditions for this application:

All applications submitted during the enrollment period will be considered based on the available space. If we receive more applications than we have open space during the enrollment period we shall conduct a lottery.

All other applications received after the lottery is conducted, will be kept in active waiting list until the end of the following school year and admissions will be determined based on the results of the lottery, if the lottery was required. If no lottery was required spaces will be filled on a first come, first served basis.

Eligibility for certain classes/courses/programs may require conditions such as pre-requisite courses, auditions/placement tests.

Priority is given to applicants with siblings who are currently enrolled at the school.

Failure to respond by the date specified on the acceptance notification will be interpreted as a parent/guardian decline of acceptance.

This application becomes void after one year from the date of submission.

New students will be invited to a mandatory orientation meeting where they will be enrolled as a full-time student at Miami Community Charter School.

Students of MCCS are students of Miami Dade County Public Schools. The school’s handbook puts in place the general guidelines for everyone and in accordance with the rules, regulations and guidelines set forth by the MDCPS.

Miami Community Charter School operates based on the Student-Parent-School collaboration and partnership. Parent’s commitment to participate in students’ academic life is required.
Parent/Guardian’s Signature*
Date*
Parent/Guardian’s Name (PLEASE PRINT) *
How did you hear about our school?*

SUBMISSION OF AN APPLICATION DOES NOT GUARANTEE ADMISSION

Middle/High School

Admission Application - Middle/High School - English

Agreement of Understanding

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