Minnesota Excellence in Learning Academy
Apply for MELA's 2023-2024 school year/ Aplique para el año escolar 2023-2024
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Email *
Student First Name/ Primer nombre del estudiante *
Student Last Name / Apellido del estudiante *
Student Birthdate/ Fecha de nacimiento *
MM
/
DD
/
YYYY
Student Gender / Sexo del estudiante *
Required
Grade Level Starting Fall of 2023 / Grado a empezar en otoño de 2023 *
Parent/Guardian First Name (Primer nombre del padre o representante): *
Parent/Guardian Last Name (Apellido del padre o representante): *
Parent/Guardian Phone Number (Número telefónico del padre o representante): *
Full Address (including city) /Dirección (incluyendo la ciudad): *
Mother/Guardian 1 Email Address (Correo electrónico de la madre o representante): *
Father/Guardian 2 Email Address (Correo electrónico del padre o representante):
Other comments or questions? / Alguna otra pregunta o comentario:
A copy of your responses will be emailed to the address you provided.
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