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Minnesota Excellence in Learning Academy
Apply for MELA's 2022-2023 school year/ Aplique para el año escolar 2022-2023
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* Indicates required question
Email
*
Your email
Student First Name/ Primer nombre del estudiante
*
Your answer
Student Last Name / Apellido del estudiante
*
Your answer
Student Birthdate/ Fecha de nacimiento
*
MM
/
DD
/
YYYY
Student Gender / Sexo del estudiante
*
Female
Male
Required
Grade Level Starting Fall of 2022 / Grado a empezar en otoño de 2022
*
PreK
Kindergarten
1st
2nd
3rd
4th
5th
6th
Parent/Guardian First Name (Primer nombre del padre o representante):
*
Your answer
Parent/Guardian Last Name (Apellido del padre o representante):
*
Your answer
Parent/Guardian Phone Number (Número telefónico del padre o representante):
*
Your answer
Full Address /Dirección:
*
Your answer
Mother/Guardian 1 Email Address (Correo electrónico de la madre o representante):
Your answer
Father/Guardian 2 Email Address (Correo electrónico del padre o representante):
Your answer
Other comments or questions? / Alguna otra pregunta o comentario:
Your answer
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