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The Middle States Association is a worldwide leader in accreditation and school improvement. For over 125 years, Middle States has been helping school leaders establish and reach their goals, develop strategic plans, promote staff development and advance student achievement.

The QSI International School of Shenyang has been accredited by the Middle States Association since 2019. The school maintains its accreditation with MSA through a continual process of identifying areas for growth and implementing a community supported action plan to push the boundaries of success and achievement in those areas.

ACAMIS has a membership of 77 schools ranging in size from less than 300 pupils to over 2,500 in Mongolia, mainland China, Hong Kong, Macau, and Taiwan. In addition to the continued connections for students through sports tournaments and cultural events, ACAMIS also helps school staff through professional development programs and networking opportunities. These staff services include a Spring Conference (bringing together heads, aspiring heads, business managers, librarians, counselors, athletic directors, arts/cultural coordinators, curriculum coordinators, and technology directors), a Chinese Conference focusing on language acquisition best practices, and workshops for middle managers as well as administrative personnel.