Summer Application for New or Returning MNOHS Students
2017 Summer Courses - June 14 to August 17


Complete and submit the enrollment application form below.

Please note:
  • (*) means required information
  • To make sure that credit is correctly awarded, enter the student's name and gender as it appears on his/her birth certificate. Also enter the correct school counselor contact info.
  • Write none or N/A if a question doesn't apply to you
  • Scroll to the bottom of the page for explanation if you get a message asking for more information
  • Call MNOHS at 1-800-764-8166 x137 or email studentrecords@mail.mnohs.org with any questions
The Summer Tuition and Learning Support Agreement (T-LSA) will be sent to the parent/guardian email address you enter below. If your parent/guardian does not have email or did not receive the message, they should call MNOHS at 800-764-8166 x137.

Student Information

First Name(*)
Please enter your first name.
Middle Name(*)
Please enter your middle name.
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.

Course Selection

MNOHS recommends that students enroll in no more than 3 courses.

Please note that taking a semester course in the span of just 8 weeks means that students should plan to spend 2 to 3 hours each day on each course.

How many courses do you plan to take during the MNOHS summer session?(*)
Please select a course you are applying for:
Please select a course you are applying for:
Please select a course you are applying for:

Parent or Guardian Information

Students age 17 and younger:
  • You must have permission from a parent or guardian to enroll at MNOHS.
  • Staff will be in contact with your parent/guardian.
  • You and your parent/guardian must sign and return the Tuition and Learning Support Agreement (T-LSA). This form will be sent to the parent/guardian email address you enter below.
Students 18 and over (or if you turn 18 during the summer):
  • MNOHS will assume it has permission to contact your parent/guardian unless you tell us not to. You can note this below, on this form. You may also notify us in writing during the academic term.
NOTE: Parents, guardians and other family members can be an important source of support for online learners. Please consider this before you decide to not allow MNOHS to contact your parent/guardian. If you want to change your decision, you may contact MNOHS.

Please choose the description that best fits for you:(*)
Please make a selection.

If you are over 18 and we do not have permission to contact your parent/guardian:
  • fill in the required fields in this section with 'NONE' or 'N/A'.
If you are under 18 or you are over 18 and we have permission to contact your parent/guardian:
  • list one parent or guardian who can serve as the MNOHS contact.
  • list the parent/guardian you live with most, if you live in more than one home
Parent/Guardian 1 First Name(*)
Please provide your parent/guardian's first and last name.
Parent/Guardian 1 Last Name(*)
Please provide your parent/guardian's first and last name.
Parent/Guardian 1 Street Address(*)
Please provide your parent/guardian's complete address.
Parent/Guardian 1 City(*)
Please provide your parent/guardian's complete address.
Parent/Guardian 1 State(*)
Please provide your parent/guardian's complete address.
Parent/Guardian 1 Zip code(*)
Please provide your parent/guardian's complete address.
Parent/Guardian 1 County
Parent/Guardian 1 Home Phone(*)
Please include your parent/guardian's home phone.
Parent/Guardian 1 Work Phone(*)
Please include your parent/guardian's work phone, or 'none' if they don't have one.
Parent/Guardian 1 Cell Phone(*)
Please include your parent/guardian's cell phone, or 'none' if they don't have one.
Parent/Guardian 1 Email Address (NOTE: THIS EMAIL ADDRESS IS NECESSARY TO RESERVE YOUR SPOT AT MNOHS! IF YOU ARE OVER 18 YOU MAY ENTER YOUR PARENT/GUARDIAN EMAIL ADDRESS OR YOUR OWN. PLEASE BE SURE TO ENTER A CORRECT EMAIL ADDRESS HERE.)(*)
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 parent/guardian:

Next, enter the contact information for your second parent or guardian, if you have one. If this person lives in the same home, you can write SAME. Be sure to include the correct cell phone and email address!
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

Current School Enrollment Information

Enrollment Grade: What grade will you be in when you start attending MNOHS?
Invalid Input
Current High School Counselor Name(*)
Invalid Input
Current High School Counselor Phone
Invalid Input
Current High School Counselor Email(*)
Invalid Input


How did you hear about MNOHS?








Please let us know how you heard about MNOHS.
If you chose 'Other' above, please tell us how you heard about MNOHS.
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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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