Update Student Information

Please submit only information that is new. Submit more than once as necessary.

If you have any additional questions, please contact the Registrar Mrs. Colleen Rozman at cmrozman@mhsmi.org.

Submitter's Name: *

Submitter's Email: *

Student's Full Name: *

Current Grade: * - Select -9th10th11th12th

Adviser's Name: *

Old Information

Parent/Guardian Name:

Email:

Phone #:

Address:

Address 2:

City:

State/Province/Region:

Zip/Postal Code:

Country:

New Information

(Only enter information that is different from the above.)

Parent/Guardian Name:

Email:

Phone #:

Address:

Address 2:

City:

State/Province/Region:

Zip/Postal Code:

Country:

Effective Date of Change(s): *

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year20102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050

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