Please complete the form below to apply.

Applications can also be, mailed, emailed, or dropped off at the MWT Community and Government Center, Education Department 483 Great Neck Road South Mashpee MA 02649

For more information, contact Kitty Hendricks-Miller Indian Education Coordinator at
Gertrude.hendricks@mwtribe-nsn.gov
Sassamin.Weeden@mwtribe-nsn.gov 508-477-0208 Ext.163

Childs Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Gender

Male

Female

Age

Grade

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mailing Address * if different

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Phone Number

(###)

###

####

Home Phone

Work Phone

Email