Apply to Midlands Middle College

Please complete our online application below. Students requesting entrance to Midlands Middle College must submit a fully completed application for enrollment consideration. Applications will be accepted until seats are filled.

Student Information
Please do not use nicknames
Name*
FirstLast
Date of Birth*
MM
DD
YYYY
Grade*
- 11th Grade
- 12th Grade
Grade Applying for the 2018-2019 School Year
Current School*
Name of school student currently attends (if applicable)
Student Phone Number*
Student Email Address
Parent/Legal Guardian Information
Parent/Guardian Name(s)
Address
Street AddressAddress Line 2CityStateZIP Code
Parent Phone Number
Email Address*
Sibling Information
List any additional siblings applying to MMC for the 2018-2019 year. NOTE: A separate application is required for each student.
Sibling Name
Parent / Guardian Approval*
- I Agree
Checking this box represents the approval and signature of the student's parent or legal guardian.

Need Assistance?

If you have questions, or need assistance with your application, please click on the Application Assistance button below, complete your contact information and Midlands Middle College will contact you to aid in the application process.

Application Assistance

Apply to Midlands Middle College

Student Information

Parent/Legal Guardian Information

Sibling Information

Need Assistance?

Ask Midlands Middle College

Ask Midlands Middle College