application

Application for Admission.
Please submit a completed application to MID.
Please note that our classes are taught locally at our Syosset, NY location.
We do not offer any online courses at this time.


Date

MM
/
DD
/
YYYY
Program of Study
Semester You Desire
Name*
Address*
City*
State*
Zip*
Phone*
Cell Phone*
Email Address*
Prior Education - College/Univ/HS
Prior Education - Dates From/To
Prior Education - Major
Prior Education - Credits/GPA
Prior Education - Degree/Date
Employment - Employer
Employment - Dates From/To
Employment - Location
Employment - Type of Work
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