Teacher/Caregiver Referral Request

IMS uses a teacher/caregiver referral to provide a more complete picture of your child’s development. A referral is required to all rising Primary (3-6 years) and Elementary (1st-6th grade) students. Toddlers do not need a referral. 

The teacher/caregiver you designate in the Referral Request form below will receive an email from IMS the next business day with a link and password to an online form. Please let the person know they will receive this form directly from IMS and ask that they complete it within five business days.

Please complete the Referral Request form at the same time that you submit your application to ensure that we receive the completed referral on time. If you have any questions about this step, please contact the office at office@imsnc.org or (919) 401-4343 for assistance.

  • Parent/Guardian Information

  • MM slash DD slash YYYY
  • Prospective Student's Information

  • Teacher or Caregiver Who Will Complete the Referral Form

  • This field is for validation purposes and should be left unchanged.