Application

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STUDENT INFORMATION

Student's Name*

First Last

School Year Applying*

Grade Level Entering*

Grade level entering for the SY applying

Student's Gender*

Student's Date of Birth*

MM slash DD slash YYYY

Student's Address*

Street Address City State ZIP Code

Is the student of Hispanic, Latino or Spanish Origin?*

No, not of Hispanic, Latino or Spanish Origin

Yes, Cuban

Yes, Mexican

Yes, Puerto Rican

Yes, another Hispanic, Latino or Spanish Origin

What is the student's race?*

American Indian or Alaska Native

Asian (including Indian subcontinent and Philippines origin)

Black or African American

White (including Middle Eastern origin)

Native Hawaiian or Other Pacific Islander

FAMILY INFORMATION

PARENT/GUARDIAN #1 INFORMATION

Parent/Guardian Name*

First Last

Parent/Guardian Email*

Parent/Guardian Relationship to Student*

Parent/Guardian Occupation*

Parent/Guardian Mobile Phone Number*

Parent/Guardian Work Phone Number*

PARENT/GUARDIAN #2 INFORMATION

Parent/Guardian Name

First Last

Parent/Guardian Email

Parent/Guardian Relationship to Student

Parent/Guardian Occupation

Parent/Guardian Mobile Phone Number

Parent/Guardian Work Phone Number

How did you hear about MDIS?*

SCHOOL INFORMATION

Name of Present School*

School Address*

Street Address City State ZIP Code

Previous School

STUDENT SELF-ASSESSMENT

Problem Solving Ability: I provide alternate or multiple solutions to questions*

Always

Frequently

Sometimes

Rarely

Never

Reasoning Ability: I understand cause and effect; see patterns and relationships*

Always

Frequently

Sometimes

Rarely

Never

Natural Inquiry: I seek information and answers to thoughts; I am inherently curious*

Always

Frequently

Sometimes

Rarely

Never

Interest(s): I am passionate about and have sound knowledge of STEMtopics.*

Always

Frequently

Sometimes

Rarely

Never

Collaboration Skills: I actively engage group members, am respectful of divergent ideas offered by others and contribute effectively*

Always

Frequently

Sometimes

Rarely

Never

Communication Skills: I organize and expresses ideas with detail and addabstractions*

Always

Frequently

Sometimes

Rarely

Never

Motivation: I am a self-starter and have intrinsic and independent task commitment*

Always

Frequently

Sometimes

Rarely

Never

Leadership: I am committed, maintain a focus on goals, have empathy for others, am positive and trustworthy, have values*

Always

Frequently

Sometimes

Rarely

Never

PARENT QUESTIONNAIRE

To be filled out by 1st & 2nd grade parents. The following questions help us learn about your child. Please provide supporting evidence for your responses.

Describe your child’s strengths.*

Describe your child’s areas of growth/challenge.*

What are your child’s interests/hobbies.*

Describe how your child interacts with peers.*

What do you expect your child to gain from our program?*

Is there anything else you would like us to know about your child?*

STUDENT QUESTIONNAIRE

The following questions help us learn about you. Please handwrite or type your answers.

Describe your strengths.*

Describe your areas of growth/challenge.*

What is your favorite subject and why?*

What is your least favorite subject and why?*

What do you expect to gain from our school?*

Is there anything else you would like us to know about you?*

STUDENT ESSAY

Please choose one of the options below.

Option 1: Imagine you have been given the opportunity to create a new invention that could change the world for the better. Write a 500-700 word essay describing your invention, explaining how it works, and discussing the positive impact it could have on society. Be sure to include details about the problem your invention addresses, how it solves that problem, and the potential benefits it offers to individuals and communities. Additionally, consider the challenges and obstacles you might encounter in developing and implementing your invention, and how you would overcome them. Your essay should showcase your creativity, critical thinking skills, and ability to communicate your ideas effectively.

Option 2: Write a 500-700 word essay describing an experience or challenge you have faced in your previous school or in your life that has helped shape who you are today. How did you overcome this challenge and what did you learn from it? How do you think this experience will benefit you as a student at our school?

Option 3: Write a 500-700 word essay describing a person – real or fictional – who has had a significant impact on your life. Explain why this person is important to you and how they have influenced your thoughts, actions, and/or aspirations.

Please choose one of the options below.

Option 1: Should high school students be required to complete community service as part of their graduation requirements? Provide a well-reasoned argument either in favor of or against this proposition, drawing on relevant examples and evidence to support your position.

Option 2: Should schools implement a four-day school week? Write a persuasive essay arguing either for or against the adoption of a four-day school week. Use evidence, examples, and logical reasoning to support your argument and make a compelling case for your position. Be sure to acknowledge and address counter arguments as well.

Option 3: Should the voting age be lowered to 16? Write a persuasive essay arguing for or against lowering the voting age to 16, providing strong reasons and evidence to support your position.

How will you be attaching your Student Essay?*

I will be typing my essays in this form

I will be attaching a file

Typed Student Essay*

You may type in the box below.

Attach File of Essays*

Accepted file types: pdf, docx, Max. file size: 8 MB.

Non-refundable application fee of $50*

If accepted, this fee will go towards the $250 registration fee.

Pay Online

Pay Cash or Check

Please send your check or drop off your cash payment to:
6135 Old Washington Road, Elkridge, MD 21075

Application Fee

$0.00

Credit Card Processing Fee

Price: $0.00

Total

Billing Address*

Same as Student's Address

Street Address Address Line 2 City State ZIP Code

Credit Card*

Card Details

Cardholder Name

Agreement*

I/we affirm that I/we have included all the relevant and necessary information that may affect this student’s educational performance and progress. I/we understand that this information is to be reviewed only by the Admissions Committee to evaluate MDIS’s ability to appropriately meet the educational needs of this student. Further, I/we understand and accept that falsification, deception, or omission in any aspect of the application process may result in an immediate review and possible revocation of admission.

Parent Signature*

By entering your name below and submitting this electronic application, you are consenting to the use of your electronic signature in lieu of an original signature on paper.

First Last

Today's Date*

MM slash DD slash YYYY

Student Signature*

By entering your name below and submitting this electronic application, you are consenting to the use of your electronic signature in lieu of an original signature on paper.

First Last

Today's Date*

MM slash DD slash YYYY

Policies

MDIS celebrates diversity and welcomes all applicants. The school is an independent institution and does not discriminate on the basis of any characteristic protected by law. Admissions decisions are made based on a school visit (including a formal and informal assessment), evaluation of the enclosed application, previous academics as shown by a recent report card, copy of birth certificate, and any other information the Admissions Committee deems important.

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Application

STUDENT INFORMATION

FAMILY INFORMATION

PARENT/GUARDIAN #1 INFORMATION

PARENT/GUARDIAN #2 INFORMATION

SCHOOL INFORMATION

STUDENT SELF-ASSESSMENT

PARENT QUESTIONNAIRE

STUDENT QUESTIONNAIRE

STUDENT ESSAY

ready to learn more about MDIS?