School Participation Form 2011 - 2012

If you have any questions please call:    1-610-872-7600

         (* indicates required field)

       Contact Information

 *School Name: 

*Contact Person: 

*Title: 

Physical Address: 

*Street: 

*City:   *State:    *Zip Code: 

Mailing Address (if different than above)

Street: 

City:     State:    Zip Code: 

*School Phone: 

*School Fax: 

*Website: 

*E-mail Address: 

School Profile

*Year Founded:  

*Number of Students:  

*Grades Offered:  

Sponsoring Organization:  

Accredited by:  

*School Description (Please include a 35-word description of your school's distinctives)

 

 Please check this box as indication that you are in agreement with MACSA's Statement of Faith.  Click here to read the MACSA Statement of Faith.

*Name of person completing this form:

*Date: