2019-20 MECA Enrollment Application

Our admissions policy embraces discipleship and evangelistic philosophies, both key elements of God’s commission to us as Christians. We desire to attract students who come from a good home, have a cooperative spirit, respect Christian values and authority, and demonstrate diligence and perseverance in their studies.  Our desire is that our school provides a safe environment and is accessible to all with the cultural, ethnic and economic diversities that mirror the world in which we live.
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Email *
Prospective Student Profile
Student Name (Last) *
Student Name (First & Middle) *
Gender *
Current age *
Date of Birth (DOB) *
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Birthplace *
Grade Entering (2019-20) *
Last School Attended (2018-19) *
Student's Address *
City, State, Zip Code *
Please list all medical, psychological, learning, or other difficulties that you are aware of:
Has student ever been suspended, expelled, repeated a grade, or been tested for a learning disability? *
If you answered YES to the previous question please provide explanation.  
Parent/ Guardian Information
Student lives with? *
Mother/ Guardian's Name
Father/ Guardian's Name
Name of Person Responsible for Account *
Billing Address (Person Responsible for Account) *
City, State, Zip Code *
Primary Contact Phone Number *
Additional Contact Number (Work/Cell) *
Preferred Method of Communication for Messages *
Required
Occupation/ Employer *
Does your family members of a local church? *
If YES, what church do you attend?
How did you hear about Mt. Erie?  Please provide referral name or source.
Authorization and Release
Acknowledge your participation in or permission for the following:
My name, address, and telephone number and email to be published in the MECA directory *
My child to be included in the school yearbook, class pictures, and any other pictures associated with the overall program. *
My child to be taken on field trips or excursions by bus, van, or private motor vehicle, as well as on neighborhood walking excursions under required supervision. *
I/We grant permission for the school or designated employee to take action in obtaining emergency medical care if warranted. This includes, but not limited the following: contacting the guardians, any person listed on theEmergency Information Form, child’s physician, paramedics, and/or ambulance to have the child taken to an emergency hospital. *
Additionally, I represent the information contained in this application is true, correct, and complete and further acknowledge and agree that any false statements or misrepresentations about my student maybe grounds for rejection of application or dismissal of my student from MECA’s student body. *
Required
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