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*
- School year 2022-2023
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

	August 2022
Sun	Mon	Tue	Wed	Thu	Fri	Sat
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14	15	16 UMA Board Meeting UMA Board Meeting August 16, 2022 @ 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 •	17	18	19	20
21	22	23	24	25	26	27
28	29 1st Day of School 1st Day of School August 29, 2022 See more details •	30	31

UMA New Student Application

UMA New Student Application

UMA New Student Application

Student Information

Parent/Guardian Information

Sibling Information