JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Minnesota Excellence in Learning Academy
Apply for MELA's 2020-2021 school year.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Birthdate
*
MM
/
DD
/
YYYY
Student Gender
*
Male
Female
Grade Level Starting Fall of 2020
*
Pre-Kindergarten
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Parent/Guardian First Name:
*
Your answer
Parent/Guardian Last Name:
*
Your answer
Parent/Guardian Phone Number:
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Mother/Guardian Email Address
*
Your answer
Father/Guardian Email Address
Your answer
Other comments or questions?
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Minnesota Excellence in Learning Academy.
Report Abuse
Forms
