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Online Application Form - Enrolling ONLY at MNOHS
Minnesota Online High School (MNOHS) is now accepting comprehensive enrollment applications for the 1st Quarter that begins on September 1st, 2010.
The MNOHS application for enrollment has two parts:
- this online form, and
- a signed Learner Support Agreement (LSA) (emailed to you after you complete this form.)
To confirm and hold your place at MNOHS, you must complete and submit both parts.
The application window for the 1st Quarter will close at 5PM on September 17th, 2010.
You will NOT BE ENROLLED in MNOHS unless you complete and submit BOTH parts our your application before the application window closes.
IMPORTANT: To be able to access the full MNOHS curriculum, you must:
- have access to a computer
- A high-speed internet connection is highly recommended!
Minnesota Online High School is open to any Minnesota resident in grades 9 through 12. As stated in the Minnesota Online High School Enrollment Policy, Minnesota Online High School does not limit admission to pupils on the basis of intellectual ability; measures of achievement or aptitude; or athletic ability and does not discriminate on the basis of race; color; creed; religion; national origin; sex; gender; marital status; disability; status with regard to public assistance; sexual orientation; age; intellectual ability; measures of achievement or aptitude; or athletic ability.
To begin the application process, please complete and submit the enrollment application form below. Information on the form marked by an asterisk is required. If a question does not apply, please write 'none' or 'n/a' so that the form is not returned to you. If the form is returned, scroll down to see what information you need to provide.
The Learner Support Agreement (LSA) will be sent to the parent/guardian email address you enter below. If your parent/guardian does not have email or does not receive the message, they should call MNOHS at 800-764-8166 x102. |
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Student Information |
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| First Name (*) |
Please enter your first name. |
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| Middle Name (*) |
Please enter your middle name. |
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| Last Name (*) |
Please enter your last name. |
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| Date of Birth (mm/dd/yyyy) (*) |
Please enter your date of birth. Example: (mm/dd/yyyy) |
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| Age (*) |
Please enter your age. |
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| Gender (*) |
Please indicate your gender. |
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| Street Address (*) |
Please enter your street address. |
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| City (*) |
Please enter your city. |
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| State (*) |
Please enter your state. |
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| Zip Code (*) |
Please enter your zip code. |
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| County (*) |
Please add a value for County- for example, Hennepin County, Rice County, etc. (NOTE: We are not asking about your country; please do not tell us USA.. |
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| Student Home Phone (*) |
Please enter your home phone. |
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| Student Work Phone (*) |
Please enter your work phone, or 'none' if you don't have one. |
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| Student Cell Phone (*) |
Please enter your cell phone, or 'none' if you don't have one. |
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| Student Email Address (*) |
Please enter your e-mail address. |
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| Confirm Student Email Address (*) |
Please enter your e-mail address. |
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Parent or Guardian Information |
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Students age 17 and younger must have parental permission to enroll at MNOHS, and staff will be in contact with your parent. In order to reserve your spot at MNOHS, your parent must sign and return the Learner Services Agreemen. This form will be sent to the parent/guardian email address you enter below. If your parent/guardian does not have email please write this in the space below, submit this form, and have them call MNOHS at 800-764-8166 x102.
If you are over 18, or if you turn 18 during the academic year, we will assume that MNOHS has permission to contact your parent unless you state otherwise below or formally notify us during the academic year.
If you are over 18 and receiving special education services, MNOHS will not contact your parent without your permission.
NOTE: Parents and other family members can be an important source of support for online learners. Please consider carefully before deciding that you do not want MNOHS to contact your parent. If you want to change the decision you make, you may contact MNOHS to do so.
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| Please choose the description that best fits for you: (*) |
Please make a selection. |
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Please list one parent or guardian who can serve as the first person MNOHS should contact. If both of your parents do not share the same home, please list the parent you live with most in these fields: |
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| Parent/Guardian 1 First Name (*) |
Please provide your parent/guardian's first and last name. |
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| Parent/Guardian 1 Last Name (*) |
Please provide your parent/guardian's first and last name. |
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| Parent/Guardian 1 Street Address (*) |
Please provide your parent/guardian's complete address. |
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| Parent/Guardian 1 City (*) |
Please provide your parent/guardian's complete address. |
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| Parent/Guardian 1 State (*) |
Please provide your parent/guardian's complete address. |
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| Parent/Guardian 1 Zip code (*) |
Please provide your parent/guardian's complete address. |
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| Parent/Guardian 1 County |
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| Parent/Guardian 1 Home Phone (*) |
Please include your parent/guardian's home phone. |
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| Parent/Guardian 1 Work Phone (*) |
Please include your parent/guardian's work phone, or 'none' if they don't have one. |
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| Parent/Guardian 1 Cell Phone (*) |
Please include your parent/guardian's cell phone, or 'none' if they don't have one. |
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| Parent/Guardian 1 Email Address (NOTE: This email address is necessary for completing your application to MNOHS. If you are over 18 you may enter your parent/guardian e-mail address or your own.) (*) |
Please include your parent/guardian's e-mail address. |
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| Confirm Parent/Guardian 1 Email Address (*) |
Please include your parent/guardian's e-mail address. |
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| Please describe anything else about contacting your parents: |
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In the next few fields, enter the contact information for your second parent or guardian. If this person lives in the same home, you can just write "same". Be sure to include the correct cell phone and email addresses! |
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| Parent/Guardian 2 First Name |
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| Parent/Guardian 2 Last Name |
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| Parent/Guardian 2 Street Address |
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| Parent/Guardian 2 City |
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| Parent/Guardian 2 State |
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| Parent/Guardian 2 Zip code |
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| Parent/Guardian 2 County |
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| Parent/Guardian 2 Home Phone |
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| Parent/Guardian 2 Work Phone |
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| Parent/Guardian 2 Cell Phone |
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| Parent/Guardian 2 Email Address |
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| Confirm Parent/Guardian 2 Email Address |
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Enrollment |
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| Enrollment Grade: What grade will you be in when you start attending MNOHS? |
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| How many courses per semester do you plan to take at MNOHS? |
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| If you will be enrolled only at Minnesota Online High School, what date will you (or did you) withdraw from your current high school? |
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| I have not been enrolled in another school this academic year. |
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SPECIAL EDUCATION NOTE: If you have been receiving special education services, please click here to review the Special Education section of the MNOHS website to learn about the services available. You may contact the MNOHS Special Education Director at special.education@mnohs.org to discuss how to meet your individual special education needs. If you enroll in MNOHS, please request to have your special education records (most recent IEP and Evaluation Report) sent or faxed to the MNOHS office immediately so we can work with you to plan your special education services. |
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Current School Enrollment Information |
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| High School Name #1 (most recent): |
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| School District name: |
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| If you don't see your district listed, please enter it in the field to the right: |
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| City and State where high school is located: |
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| Grade or grades that you attended there: (check all that apply) |
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| High School Phone |
Invalid Input |
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| High School Counselor Name |
Invalid Input |
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| High School Counselor Phone |
Invalid Input |
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| High School Counselor Email |
Invalid Input |
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| Where did you hear about MNOHS? |
Invalid Input |
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Minnesota Online High School has taken steps to insure that the information you send via this form will be transmitted securely. However, complete security cannot be guaranteed. Please be aware that the school will never contact you to request personal information such as a credit card number or social security number. If you are contacted by someone claiming to represent the school, do not provide this kind of private information. If you would prefer, you can print this form and mail it to us rather than submitting it electronically. |
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| Security Check |
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