2010 ExplorSchool Online Application
STUDENT INFORMATION: Date of Birth:
Current Grade: 4    5    6 (2009-10 school year) Male    Female

Last Name
First Name
Middle Name

Street Address
City
State, Zip

Name of Parents or Guardian
Home Phone
Work Phone

Name of School
City
Parent Email
I would like to receive acceptance packet by email  
Please put my name on the carpool list.
INDICATE COURSE CHOICES IN ORDER OF PREFERENCE
A.M. Course Choices: P.M. Course Choices:
A.M. 1 P.M. 1
A.M. 2 P.M. 2
ALL APPLICANTS SEND:
  • Completed application form
  • $150 deposit (The balance of the $525 tuition is due two weeks after you receive your acceptance letter)
  • Most recent report card
NEW APPLICANTS ALSO SEND:
Note: YES alumni are considered new students
  • Teacher recommendation
  • Written paragraph or two telling us about yourself.
EXTENDED DAY:
Extended Day is available to assist working parents during ExplorSchool session. Students may use extended
day either in the morning from 7:30 am – 8:30 am, or after ExplorSchool classes, from 4:00 pm – 5:00 pm.
The cost is $50 per child for morning or afternoon. For both morning and afternoon the cost is $90.
I would like to sign my child up for extended day. Please indicate morning or afternoon.
morning ($50)    afternoon ($50)    Both ($90)
MAIL TO:
ExplorSchool
c/o Minnesota Institute for Talented Youth
1600 Grand Ave. St. Paul, MN 55105
651-696-6590 www.mity.org