Student Application - 2019-2020
Math, Engineering, and Science Academy (MESA) Charter High School will provide a rigorous education that equips each student with the ability to succeed in life and in college. MESA students will develop a passion for science, technology, engineering and mathematics and, through an intensive college readiness program, develop critical thinking and self-advocacy.
Students who are English Language Learners (ELL) and students with disabilities are encouraged to apply.

Note: The deadline for submitting the student application is Thursday, April 4, 2019 at 4:00pm. The lottery will be held on Tuesday, April 30, 2019, 5:00pm at MESA.

We are accepting applications for incoming 9th through 12th graders.

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Aceptamos estudiantes que están aprendiendo Ingles (ELL) y estudiantes con necesidades especiales.

Nota: El ultimo día para las aplicaciones es Jueves, 4 de Abril del 2019 a las 4:00pm y la lotería será llevada a cabo Martes, 30 de Abril del 2019 a las 5:00pm, en MESA.

Estamos aceptando aplicaciones para estudiantes de 9 al 12 grados.

Email address *
Student Last Name *
(Apellido de estudiante)
Your answer
Student First Name *
(Nombre de estudiante)
Your answer
Date of Birth (Fecha de Nacimiento) *
(MM/DD/YYYY)
MM
/
DD
/
YYYY
Gender (Género) *
Choose One (Seleccione uno)
Street Address *
(Número, Calle)
Your answer
Apartment *
(Apartamento)
Your answer
City *
(Ciudad)
Your answer
Zip Code *
(Zona Postal)
Your answer
School District (or New York City Community School), if known *
Distrito Escolar (o el Distrito Escolar Comunitario de la Ciudad de Nueva York), si se conoce
Your answer
Student's Grade Entering in August of 2019 (Grado del Estudiante Entrando en Agosto de 2019) *
Does the student applicant have a sibling(s) who is currently enrolled at MESA?
¿El alumno solicitante un hermano(s) que está actualmente matriculado en MESA?
If yes, list at least one sibling's name, current grade and date of birth.
En caso afirmativo, indique el nombre de al menos unos de los hermanos, el grado actual y fecha de nacimiento.
Your answer
Current School *
(Escuela Este Año)
Your answer
Thank you!
Parent/Guardian Last Name *
(Apellido del Padre)
Your answer
Parent/Guardian First Name *
(Nombre del Padre)
Your answer
Relationship to Student *
(Parentesco con el Estudiante)
Your answer
Street Address *
(Número, Calle)
Your answer
Apartment
(Apartamento)
Your answer
City *
(Ciudad)
Your answer
Zip Code *
(Zona Postal)
Your answer
Phone Number(s) *
(Número(s) de Teléfono)
Your answer
E-mail
(Dirección de Correo Electrónico)
Your answer
A copy of your responses will be emailed to the address you provided.
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This form was created inside of MESA Charter High School.