Application for Admission

How did you learn about MBCI?

*Select an option

Other

Student Information

*Applying for grade	* Start Year:
*Last Name	*First Name	*Middle Name
Name Commonly Used	*Birth Date	*Gender
*Canadian Citizen

Contact Information

*Phone
*Address
*City	*Province	*Postal Code
*School Division

Schooling

*Currently in Grade	*Student MET #
*Current School

Applicant’s Siblings

Name	Grade	Current School
Name	Grade	Current School
Name	Grade	Current School

Ancestral / Cultural Information

Providing this information is voluntary and optional. The information is being collected to support the efforts of Manitoba Education and Training and schools to plan and improve programs in a way that is responsive to Aboriginal learners. It is being collected in compliance with section 36(1) (b) of the Freedom of Information and Protection of Privacy Act (FIPPA) as it is necessary for and relates directly to the activity of Manitoba and schools to plan, deliver and improve programs.

Please select one - I am/have:

Please check only one of the following identities if applicable to your child: (these include Status and Non-Status Indians)

If you have selected an Aboriginal/Indigenous identity, please check up to two of the following cultural-linguistic identities that best describe your child

If other, please specify

Church Information

*Family Church	*Denomination
Is the student or any parent or guardian a member of a Mennonite Brethren Church?
If yes, please specify church of Mennonite Brethren membership

Medical Information

*Family doctor
*Phone
*Medical Number (6 digit)	*Medical Number (9 digit)
*Allergies
*Symptoms of Reaction	*Action Required
Occurence
*Medication
Being Taken for	*Other relevant medical information

Family

*Student's Parent(s)

*Student lives with

*Student Custody

Note to divorced/separated parents: School information will be sent to both parents unless sole custody can be documented or the second parent waives, in writing, the receipt of correspondence.

Father/Guardian Information

*Addressed as
*Legal Last Name	*Legal First Name
*Home Phone	*Business Phone	*Cell Phone
*Email
*Address
*City	*Province	*Postal Code
MBCI ALUMNUS	Alumnus/Graduation year and name
*Occupation	*Employer	Father / Guardian
		Financial amount

Mother/Guardian Information

*Addressed as
*Legal Last Name	*Legal First Name
*Home Phone	*Business Phone	*Cell Phone
*Email
*Address
*City	Province	*Postal Code
MBCI ALUMNUS	Alumnus/Graduation year and name
*Occupation	*Employer	Mother / Guardian
		Financial Amount

Primary Email Contact Information

*Preferred family email address

Emergency Contact (other than Parent / Guardian)

*Name	Relationship to Student
*Home Phone	Business Phone	Cell Phone

Transportation

MBCI has daily transportation routes currently serving East/West St. Paul, Beausejour, West of Main Street, Sage Creek/Island Lakes, Lindenwoods and Harbourview South with the option of one-way or return service. Additional routes will be considered based on interest/demand. Additional fees apply.

*Please select one

Bursary

Full and partial bursaries are available to any students, based on financial need. All bursary applications are kept in strict confidence.

*Please select one

Financial Information

A valid credit card is required to complete the online application process. Please continue to the next screen to pay the $50 registration fee.

A representative from the Admissions Office will contact you on receipt of your application. Admission notifications will be mailed out within two weeks of the interview date. Upon acceptance, a $500.00 non-refundable tuition deposit becomes due, securing your placement at MBCI. Tuition rates for the current school year are listed in our school catalogue. Financial information for the upcoming school year will be available in May.

*Agreement

Application for Admission

Application for Admission

Configure Application for Admission

How did you learn about MBCI?

Student Information

Contact Information

Schooling

Applicant’s Siblings

Ancestral / Cultural Information

Church Information

Medical Information

Family

Father/Guardian Information

Mother/Guardian Information

Primary Email Contact Information

Emergency Contact (other than Parent / Guardian)

Transportation

Bursary

Financial Information