|
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'.
If the form displays a message asking or more information, scroll down to see what 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. |
|
|
Student Information |
|
| First Name (*) |
Please enter your first name. |
|
| Middle Name (*) |
Please enter your middle name or "none" if you don't have one. |
|
| Last Name (*) |
Please enter your last name. |
|
| Date of Birth (mm/dd/yyyy) (*) |
Please enter your date of birth. Example: (mm/dd/yyyy) |
|
| Age (*) |
Please enter your age. |
|
| Gender (*) |
Please indicate your gender. |
|
| Street Address (*) |
Please enter your street address. |
|
| City (*) |
Please enter your city. |
|
| State (*) |
Please enter your state. |
|
| Zip Code (*) |
Please enter your zip code. |
|
| 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.. |
|
| Student Home Phone (*) |
Please enter your home phone. |
|
| Student Work Phone (*) |
Please enter your work phone, or 'none' if you don't have one. |
|
| Student Cell Phone (*) |
Please enter your cell phone, or 'none' if you don't have one. |
|
| Student Email Address (*) |
Please enter your e-mail address. |
|
| Confirm Student Email Address (*) |
Please enter your e-mail address. |
|
|
Parent or Guardian Information |
|
|
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.
|
|
| Please choose the description that best fits for you: (*) |
Please make a selection. |
|
|
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: |
|
| Parent/Guardian 1 First Name (*) |
Please provide your parent/guardian's first name. If you're over 18 and don't want parents contacted, put "none". |
|
| Parent/Guardian 1 Last Name (*) |
Please provide your parent/guardian's last name. If you're over 18 and don't want parents contacted, put "none". |
|
| Parent/Guardian 1 Street Address (*) |
Please provide your parent/guardian's complete address. If you're over 18 and don't want parents contacted, put "none". |
|
| Parent/Guardian 1 City (*) |
Please provide your parent/guardian's complete address. If you're over 18 and don't want parents contacted, put "none". |
|
| Parent/Guardian 1 State (*) |
Please provide your parent/guardian's complete address. If you're over 18 and don't want parents contacted, put "none". |
|
| Parent/Guardian 1 Zip code (*) |
Please provide your parent/guardian's complete address. If you're over 18 and don't want parents contacted, put "none". |
|
| Parent/Guardian 1 County |
|
|
| Parent/Guardian 1 Home Phone (*) |
Please include your parent/guardian's home phone. If you're over 18 and don't want parents contacted, put "none". |
|
| Parent/Guardian 1 Work Phone (*) |
Please include your parent/guardian's work phone. If they don't have one or if you're over 18 and don't want parents contacted, put "none". |
|
| Parent/Guardian 1 Cell Phone (*) |
Please include your parent/guardian's cell phone. If they don't have one or if you're over 18 and don't want parents contacted, put "none". |
|
| 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. |
|
| Confirm Parent/Guardian 1 Email Address (*) |
Please include your parent/guardian's e-mail address. |
|
| Please describe anything else about contacting your parents: |
|
|
|
|
|
|
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! |
|
| Parent/Guardian 2 First Name |
|
|
| Parent/Guardian 2 Last Name |
|
|
| Parent/Guardian 2 Street Address |
|
|
| Parent/Guardian 2 City |
|
|
| Parent/Guardian 2 State |
|
|
| Parent/Guardian 2 Zip code |
|
|
| Parent/Guardian 2 County |
|
|
| Parent/Guardian 2 Home Phone |
|
|
| Parent/Guardian 2 Work Phone |
|
|
| Parent/Guardian 2 Cell Phone |
|
|
| Parent/Guardian 2 Email Address |
|
|
| Confirm Parent/Guardian 2 Email Address |
|
|
|
Enrollment |
|
| Enrollment Grade: What grade will you be in when you start attending MNOHS? |
|
|
| Please select the term you are applying for: (*) |
Please select the term you are applying to enroll in. |
|
|
High School Enrollment Information |
|
| High School Name #1 (most recent): |
|
|
| City and State where high school is located: |
|
|
| Additional High School(s) Attended? Please list all schools. |
Please list all schools. |
|
| City and State where Additional High School(s) you attended are located: |
Invalid Input |
|
|
|
|
| Where did you hear about MNOHS? |
Invalid Input |
|
|
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. |
|
| Security Check (*) |
Invalid Input |
|
|
|
|
