Please select one: I am a
Student is a:
First Name
Preferred Name
Last Name
Birthdate
Email Address
Mobile Phone
How do you prefer we contact you with information about MICA? Select all that apply:
Address
Relationship to Student
Mobile Phone Number
I will be applying for:
Current or last attended school
**If you are a College Transfer student, please list your last attended or current college. High school students should list their current high school.
Do you have any specific questions we can help you with?
