Main Application (Parents)

Before completing this application, parents need to inform their child's current school of their intention to apply to the MACC Program. Please have your supporting documentation ready to upload before proceeding with this application. You will not be able to submit the application unless the documents are attached.*
- I understand that I need to contact my current school Principal and child's Teacher about the application to the MACC Program.
- I have three recent report cards, and other documents (IEP, SLP, psycho-educational assessment, reference Letters, if applicable) ready to upload to this application

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Student Information
Child's Legal Name*
First Last
Preferred Name (if different from above)
First Last
Current Grade*
Age*
Birth Date (MM/DD/YYYY)*
Date Format: YYYY dot MM dot DD
Gender*
- Female
- Male
- Non-binary
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Note:
PLEASE CONTINUE TO COMPLETE AND SUBMIT THIS APPLICATION EVEN IF YOU HAVE PREVIOUSLY APPLIED TO, OR ATTENDED A MACC PROGRAM.
Parent Information
*
Parent's/Guardian's Name Parent's/Guardian's Name
Address (if different from above)
Street Address City State / Province / Region ZIP / Postal Code Country
Phone (Home)
Phone (cell)*

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Email Communication
Application confirmation and testing information will be sent via EMAIL. Please ensure that the parent email address provided is correct and that you are able to check for updates frequently.
Parent Email Address*
Enter Email Confirm Email

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Parent Consent for Assessment
As part of the MACC application process, students who have not already completed a cognitive screener as a part of a MACC application will be required to complete one. The goal of the assessment is to provide insights into the students’ learned reasoning abilities. The cognitive assessment will be used as a screening tool and will help guide student placement decisions in the MACC program along with other evidence provided in the application package.
I have read the information above and CONSENT for my child to take part in the cognitive screening test.*
First Last
*BY TYPING YOUR NAME IN THE ABOVE BOXES, YOU ARE DIGITALLY SIGNING THIS FORM*
*
- I understand that assessment scores will not be provided to families. Classification results of the assessments will be placed in the student's school file.
Cognitive testing scores will not be provided to families. Classification results of the assessments will be placed in the student's school file.
Please upload the required Supporting Documentation for the application.*
1. Two most recent report cards (Example: 2nd and 3rd term of the 2020-2021 school year) 2. Individualized Education Plan (IEP) or Student Learning Plan (SLP), if applicable 3. Psycho-educational Assessment, if applicable
Drop files here or
By checking the boxes below, I understand and agree to the following:*
- Placement in the MACC program will be determined based on space availability and class composition through a selection process. Preference will be given to school district residents and proof of residency will be required by the school upon registration.
- Transportation, if required, is the responsibility of the parent/guardian.
- If a placement is offered and refused, the applicant will go to the bottom of the waiting list for any future consideration.
- I give permission to contact the current school for student information if required.
In order to apply to the MACC program you must agree to the terms above.

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Advanced Learning

MACC Main Application 2024-2025

Step 1 of 5

Student Information

Note:

Parent Information

Email Communication

Student Educational Information

Additional Information

Parent Consent for Assessment

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Parent's/Guardian's Name	Parent's/Guardian's Name

Country of Birth:	Citizenship Status