CMS Admissions Application Part One
Read all instructions before submitting your application.
Incomplete applications will not be accepted.
Please note that you cannot save the application online.
A Word version of the application is available here. Applications may be submitted through this online form or typed in the Word file.
Una aplicacion en Español esta disponible aquí.
In addition to the application, you must supply the following documents by emailing them to firstname.lastname@example.org or mailing to
Admissions Cornelia Connelly Center 220 East 4th Street New York, NY 10009
- Copy of student’s birth certificate
- Completed 2016 tax return (form 1040) and last two pay stubs
- Proof of Social Security benefits or Public Assistance (if applicable)
If you have questions, please contact email@example.com.
Policy of Non-Discrimination: Cornelia Connelly Center - Connelly Middle School admits students of any race, color, creed, or national origin to all rights, privileges, programs, and activities generally accorded or made available at the school. Cornelia Connelly Center - Connelly Middle School does not discriminate on the basis of race, color, creed, or national origin in the administration of its educational policies and scholarship, athletic, and other administered programs.