Mirus Secondary School
14073 Main Street #103
Hesperia, CA 92345
Phone: (760) 244-3764
Fax: (760) 244-3879
enroll@altus-mirus.net
   
 
MIRUS SECONDARY ONLINE ENROLLMENT
   
 

To request enrollment, please complete the for below and click 'submit'. You will also be required to fax us required documents to be considered for admission. Required documents include School Transcripts, Attendance and Disciplice Records, Immunication Records and a Birth Certificate.

If you prefer to enroll by fax, click here for Fax Enrollment Form. Print and complete the form then fax it to us at (760) 244-3879.

   
 
 
Student Information
First Name:
Last Name:
Date of Birth:
Grade:
Male:
Female:
Address:
City:
State:
ZIP:
 
Current School:
School Counselor:
School Phone:
School Address:
City:
State:
ZIP:
   
Has student ever participated in a special education program?
Yes:
No:
   
 
If YES, the student's IEP and School Psychology Report must be faxed to us. Please note that the IEP must indicate that Independent Study is an appropriate form of instruction for the studen to be admitted to Mirus Secondary School.
 
Has student ever been suspended or asked to leave a school permanently?
Yes:
No:
   

If Yes, please explain:

Parent/Guardian Information
Parent/Guardian One
First Name:
Last Name:
Address:
City:
State:
ZIP:
Phone:
E-mail:
Parent/Guardian Two
First Name:
Last Name:
Address:
City:
State:
ZIP:
Phone:
E-mail:
   
How did you hear about our school?
 
Counselor/Teacher
School District Office
Family/Friend
Website
Newspaper
Community Bulletin Board
Other
   
  
 
By submitting this form, you certify that the information on this application is true and correct.
   
 
If you would prefer to enroll by fax, click on this 'Mirus Enrollment Form' link, print and complete the form then fax it to us at (760) 244-3879.