UMA New Student Application

Please fill out this application to apply to UMA. Required fields are marked with an asterisk.

If you have questions about this form or would prefer a paper copy, please send an email or call our office at (651) 528-8091.

Please review our Enrollment Policies & Procedures before submitting your application.

Student Information
Student Name*
First Middle Last
Student Address*
Street Address Address Line 2 City State ZIP Code
Year of Enrollment*
- Current school year 21-22
Preferred Start Date*
Grade of Enrollment*
- Grade 6
- Grade 7
- Grade 8
- Grade 9
- Grade 10
- Grade 11
- Grade 12
Have you already attended a UMA Information Session?*
- Yes
- No
- Unsure
Has your student "shadowed" for a half day at UMA?*
- Yes
- No
- Unsure
Parent/Guardian Information
Parent/Guardian Name*
First Last
Parent/Guardian Email*
Parent/Guardian Phone*
Address*
Same as Student

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
- I need to add another Parent/Guardian
Parent/Guardian 2 Name*
First Last
Parent/Guardian 2 Email
Parent/Guardian 2 Phone
Parent/Guardian 2 Address
Same as Student

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Sibling Information
Name of sibling already attending UMA, if applicable.
Name of Sibling at UMA
First Last
Verification & Acceptance*
- I agree and accept
By checking "I agree and accept" below, you are certifying that all the information entered above is true and accurate, and that you have read and understand the UMA Enrollment Procedure/Policy. Your acceptance serves as your electronic signature for this application.
Hidden
Completed enrollment form
- Yes

	September 2021
Sun	Mon	Tue	Wed	Thu	Fri	Sat
			1	2	3	4
5	6 Holiday - No School Holiday - No School September 6, 2021 See more details •	7 Holiday Break - No S… Holiday Break - No School September 7, 2021 See more details •	8	9	10	11
12	13	14	15	16	17 Student Release Day … Student Release Day - No School September 17, 2021 See more details •	18
19	20	21 UMA Board Meeting UMA Board Meeting September 21, 2021 @ 4:45 pm - 6:45 pm Upper Mississippi Academy, 19 East Exchange Street, St. Paul, MN Board meetings are open to the public and take place the 3rd Tuesday of every month from 4:45 p.m. - 6:45 p.m. in the UMA cafeteria. See more details •	22	23	24	25
26	27	28	29	30 Student Early Releas… Student Early Release September 30, 2021 @ 12:30 pm - 1:30 pm See more details Conferences Conferences September 30, 2021 @ 1:30 pm - 8:00 pm See more details • •

UMA New Student Application

UMA New Student Application

Student Information

Parent/Guardian Information

Sibling Information