Application for Admission
* required fields
Applicant Information:
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Applying for Session:
January, Mid-Year Enrollment
August, Fall Enrollment
The New ERA, Summer School
Summer Leadership Camp
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Applying for Grade:
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Post Graduate
Day Student:
or Boarding:
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First Name:
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Middle Name:
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Last Name:
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Other:
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Date of Birth:
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Age:
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Place of Birth:
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Citizenship:
Nickname:
SSN or Passport#:
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Mailing Address - Number and Street:
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City:
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State or Province:
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Country:
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ZIP or Postal Code:
School Information:
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Name of Current or Most Recent School:
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City:
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State or Province:
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ZIP or Postal Code:
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Country:
Parent/Guardian Information:
Father/Guardian:
Mother/Guardian Information:
Father or Guardian's Full Name:
Mother or Guardian's Full Name:
Relation to Applicant:
Relation to Applicant:
Mailing Address:
Same as Applicant
Mailing Address:
Same as Applicant
City:
City:
State, Zip/Postal Code, Country:
State, Zip/Postal Code, Country:
Home Phone:
Cell Phone:
Home Phone:
Cell Phone:
Personal Email Address:
Personal Email Address:
Employer:
Employer:
Business Address:
Business Address:
City:
City:
State, Zip/Postal Code, Country:
State, Zip/Postal Code, Country:
Business / Work Phone:
Business / Work Fax:
Business / Work Phone:
Business / Work Fax::
Business / Work Email:
Business / Work Email:
If parents are divorced, who is legal custodian of applicant?:
Mother |
Father |
Joint
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I learned of MMA Through:
Word of Mouth
Search Engine (i.e. Google, Yahoo etc)
Online Advertising
Outdoor Billboard
Radio Advertisement
Television Advertisement
Magazine Advertisement
Other
Missouri Military Academy Certificate of Eligibility
Applicants must be single males, willing to attend, physically capable of fully participating in all school activities, to include military drills and ceremonies, and willing to abide by the rules and regulations of the school. They must be boys of good moral character capable of at least average academic performance.
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1. Has the applicant ever been arrested, cited, charged or convicted by any civil authorities for any law violations other than minor traffic offenses?
Yes
No
If yes, please explain.
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2. Has the applicant ever been expelled or asked to withdraw from a school?
Yes
No
If yes, please explain.
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3. Has the applicant ever been in consultation with a doctor/counselor concerning emotional or psychological problems?
Yes
No
If yes, please provide a brief explanation here.
(A full report from the doctor/counselor may be required before acceptance is considered.)
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4. Does the applicant take any prescription medications regularly?
Yes
No
If yes, please list.
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5. Does the applicant use tobacco products, or has he ever used any illegal substances, including alcohol, marijuana, or other chemical substances?
Yes
No
If yes, please explain.
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6. Has the applicant ever been in a residential treatment center or wilderness program for substance abuse?
Yes
No
If yes, please provide a brief explanation here.
(A full report from the doctor/counselor may be required before acceptance is considered.)
Alcohol and Drug Policy
Drinking, being under the influence, using, attempting to purchase or possessing any form of intoxicating beverage or narcotic, and/or possessing narcotics paraphernalia, and/or abuse of prescription drugs, inhalants or over-the counter drugs by any cadet at any time during the school year is expressly forbidden and will be considered grounds for dismissal from school. Missouri Military Academy has a random drug/alcohol-testing program in addition to a policy of testing cadets suspected of substance abuse. Refusal to take the test will be considered grounds for dismissal from school.
Applicant Acknowledgement:
I hereby certify that I have read and understand the above statement that I am willing to attend and abide by the rules and regulations of the Missouri Military Academy.
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Applicant agrees by initialing here:
Date:
Parent Acknowledgement:
I do hereby certify that I have read and understand the above statements. I also understand that any misstatement, misrepresentation or omission of facts made on this Certificate of Eligibility is a falsification of required information intended to mislead the Missouri Military Academy, which may result in revocation of any offer of admission, or dismissal from Missouri Military Academy.
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Parent/Guardian agrees by initialing here:
Date:
(MMA reserves the right to refuse admission to any applicant or to require the withdrawal of any cadet when such refusal or withdrawal is for the best interest of the school.)
Statement of Confidentiality
It is the policy of Missouri Military Academy that all information received regarding a candidate’s application for admission will be treated with complete confidentiality. Only authorized school personnel have access to this information, and then only to the extent that the information is relevant to admission and placement decisions. Information received within the scope of this policy is not disclosed to the applicant or to the applicant’s family.
Missouri Military Academy admits unmarried young men of any race, color, religion and national or ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to students at the Academy. It does not discriminate on the basis of race, color, religion or national and ethnic origin in the administration of its educational policies, admission policies, scholarship and loan programs or athletic and other school administered programs.
If responsibility and/or custody is to be shared by mother and father or borne by a non-custodial parent, then this application must be signed by both parties. Signature of the application form shall constitute the agreement of the parent(s) signing to be individually and fully responsible for all tuition and other charges and shall constitute a representation by the signatory that he/she is authorized and legally empowered to sign all releases and other documents in connection with the application.
A $100.00 application fee is required to proccess this application. I understand that this fee is non-refundable.
This fee can be paid online, or through the mail, you will be redirected to a payment information page directly after submitting this application.
Parent Acknowledgement:
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Parent/Guardian agrees by initialing here:
Date:
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What is the Email Address of the person filling out this application:
By pressing Agree, you acknowledge that all information on this application is truthful and accurate, and that you are the legal guardian of this applicant and that the applicant was present during this application process.
