Student Application Form

Step 1

Thank you for your interest in Miri Piri Academy. Please fill in the following application. If there are any fields that you cannot answer, please put NA for non applicable. If you have any questions, please contact our admissions team at admissions@miripiriacademy.org. Thank you.

Applicant Information

First Name^*

Last Name^*

Student Spiritual Name

Student Birth Date^*

Student Gender^*

Student Cell Phone^*

Student Email^*

Street Address^*

City^*

State^*

Country^*

Zip Code^*

Primary Language Spoken at Home^*

Grade Applying For ^*

Student Photo

Previous Education

Most Recent School Attended

School Name^*

City^*

State^*

Country^*

School Email Address^*

Phone^*

From Date^*

To Date^*

Grade Completed^*

Extra Curricular Activities^*

Language of Instruction^*

English Language Comprehension^*

Previous School Records

Please scan and upload your child's most recent school report card. If you haven't received this current year's report card, please upload last year's.

Primary Guardian

First Name^*

Last Name^*

Spiritual Name

Salutation^*

Gender^*

Primary Email^*

Secondary Email^*

Home Phone^*

Cell Phone^*

Home Address^*

City^*

State^*

Zip Code^*

Country^*

Relationship to Applicant^*

Custodial Rights^*

Marital Status^*

Spouse's Name^*

Secondary Guardian

First Name

Last Name

Spiritual Name

Salutation

Gender

Primary Email

Secondary Email

Home Phone

Cell Phone

Home Address

City

State

Zip Code

Country

Relationship to Applicant

Custodial Rights

Marital Status

Spouse's Name

Step 2

Additional Information

How did you hear about us? ^*

If someone referred you, please list their name

Does the applicant have any siblings who have attended our school?^*

If Yes, Please list their name(s)

How important was each of the following in your decision to apply to MPA?

Kundalini Yoga Practice and Teacher Training^*

Academic Program Quality^*

Sikh Lifestyle and Values^*

Social Life/Friendships^*

Extra-Curricular Activities/Sports^*

Location in Amritsar and interaction with local culture^*

Diversity of Student Body^*

Financial Aid^*

Tell us more

Is your child familiar with Kundalini Yoga? ^*

If yes, please explain.

Is your child familiar with Sikhism? ^*

If yes, please explain.

Has your child experienced any behavioral issues? ^*

If yes, please explain.

Does your child have any learning disabilities that make academics more challenging for them?^*

If yes, please explain.

Does your child have difficulty monitoring their electronic consumption? ^*

If yes, please explain.

Has your child ever used drugs, alcohol or cigarettes?^*

If yes, please explain.

Has your child ever been expelled or suspended from school?^*

If yes, please explain.

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

At this time are you thinking about applying for Financial Aid? (Please note that your application for Financial Aid will not affect admissions decisions.)^*

Thank you for filling out the application form. We will be in touch with you shortly!

Fees

Mandatory Fees
	Application Fee	60
	Total	60.00

Student Application Form

Step 1

Thank you for your interest in Miri Piri Academy. Please fill in the following application. If there are any fields that you cannot answer, please put NA for non applicable. If you have any questions, please contact our admissions team at admissions@miripiriacademy.org. Thank you.

Applicant Information

Previous Education

Most Recent School Attended

Primary Guardian

Secondary Guardian

Step 2

Additional Information

How important was each of the following in your decision to apply to MPA?

Tell us more

Thank you for filling out the application form. We will be in touch with you shortly!

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