If you have any questions regarding this form and admissions please email our admissions department at:
msaadmissions@yai.org
MSA Initial Inquiry
Please select your language.
School Year You Are Applying For
School Year Applying For
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School Year 2024-2025
Student Information
Student First Name
Student Last Name
Student Birthdate
Student Gender
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Male
Female
Other
Transgender
Non-binary/non-conforming
Prefer not to respond
Ethnicity
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African American
Asian
Caucasian
Hispanic or Latino
Muslim
Native American
Indian
White
Hispanic, Latino or Spanish oirgin
Black or African American
American Indian or Alaska native
Middle Eastern or North African
Native Hawaiian or Pacific Islander
Some other race, ethnicity or origin
Multi-Ethnic
What school does your child currently attend?
Student Address
Student Street Address
Student City
Student State
Student Zip Code
Student Country
Parent/Caregiver Information
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian Relationship Type
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Mother
Father
Caregiver
Parent/Caregiver Contact Information
Please give us at least one phone number and one email so we can contact you.
Preferred Phone
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Home
Work
Mobile
Other
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Parent/Guardian Home Phone
Parent/Guardian Mobile Phone
Parent/Guardian Work Phone
Preferred Email
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Personal
Work
Please Select
Parent/Guardian Personal Email
Parent/Guardian Work Email
Is parent address the same as the student's?
Same Address?
Yes
No
Parent Address
Parent Street Address
Parent City
Parent State
Parent Zip Code
Enrollment Status
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Active
Parent/Guardian Record Type
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Family
Student Record Type
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Student
Stage
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Web Inquiry
Start Date
End Date
New Student
Yes
Contract
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Choice A
Choice B
Choice C