Miri Piri Academy
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.
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School Email Address
*
Phone
*
From Date
*
To Date
*
Grade Completed
*
Extra Curricular Activities
*
Language of Instruction
*
English Language Comprehension
*
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English is their native language
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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
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Spiritual Name
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Salutation
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Ms
Mrs
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Primary Email
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Home Phone
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Cell Phone
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City
*
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Zip Code
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Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Other
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St Kitts & Nevis
St Lucia
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
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Tuvalu
Uganda
Ukraine
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Custodial Rights
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Yes
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Single
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Spouse's Name
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Secondary Guardian
First Name
*
Last Name
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Spiritual Name
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Salutation
*
Select
Ms
Mrs
Miss
Mr
Gender
*
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Male
Female
Other
Primary Email
*
Secondary Email
*
Home Phone
*
Cell Phone
*
Home Address
*
City
*
State
*
Zip Code
*
Country
*
Select
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Other
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St Kitts & Nevis
St Lucia
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Relationship to Applicant
*
Custodial Rights
*
Select
Yes
No
Marital Status
*
Select
Single
Married
Separated
Divorced
Widowed
Spouse's Name
*
Next
Step 2
Additional Information
How did you hear about us?
*
Select
Yoga Teacher
Former or Current Student/Parent
Direct from Yogi Bhajan
Cherdi Kala Jetha
Summer Solstice
European Yoga Festival
Local Gurdwara
Internet Search
Facebook
Sikhnet
If someone referred you, please list their name
*
Does the applicant have any siblings who have attended our school?
*
Select
Yes
No
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
*
Select
Somewhat Important
Very Important
Unimportant
The Deciding Factor
Academic Program Quality
*
Select
Somewhat Important
Very Important
Unimportant
The Deciding Factor
Sikh Lifestyle and Values
*
Select
Somewhat Important
Very Important
Unimportant
The Deciding Factor
Social Life/Friendships
*
Select
Somewhat Important
Very Important
Unimportant
The Deciding Factor
Extra-Curricular Activities/Sports
*
Select
Somewhat Important
Very Important
Unimportant
The Deciding Factor
Location in Amritsar and interaction with local culture
*
Select
Somewhat Important
Very Important
Unimportant
The Deciding Factor
Diversity of Student Body
*
Select
Somewhat Important
Very Important
Unimportant
The Deciding Factor
Financial Aid
*
Select
Somewhat Important
Very Important
Unimportant
The Deciding Factor
Tell us more
Is your child familiar with Kundalini Yoga?
*
Select
Yes
No
If yes, please explain.
*
Is your child familiar with Sikhism?
*
Select
Yes
No
If yes, please explain.
*
Has your child experienced any behavioral issues?
*
Select
Yes
No
If yes, please explain.
*
Does your child have any learning disabilities that make academics more challenging for them?
*
Select
Yes
No
If yes, please explain.
*
Does your child have difficulty monitoring their electronic consumption?
*
Select
Yes
No
If yes, please explain.
*
Has your child ever used drugs, alcohol or cigarettes?
*
Select
Yes
No
If yes, please explain.
*
Has your child ever been expelled or suspended from school?
*
Select
Yes
No
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.)
*
Select
Yes I am planning to apply
No I don’t need Financial Aid.
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
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