2020/2021 Enrollment Application

Email *

Applicant's Full Name *

First

Last

Applying for *

Applicant Information

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone *

Date of Birth *

Religious Affiliation *

Enter other religious affiliation

Attend (name of church)

US Citizen *

Primary Language Spoken at Home

Mother's Information

Mother's Full Name *

First

Last

Mother's Address Same as Applicant *

Mother's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Mother's Cell Number *

Mother's Email *

Mother's Employer

Mother's Position / Title

Father's Information

Father's Full Name *

First

Last

Father's Home Address Same as Applicant *

Father's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Father's Cell Number *

Father's Email *

Father's Employer

Father's Position / Title

Sibling Information

Siblings

Please list all of the applicant's siblings and their ages.

Applicant School Information

Current School and Address *

Any other school attended for middle school? *

Please list name of school(s) *

Has the applicant ever skipped or repeated a grade? If so, please explain. *

Has the applicant ever had any in-school or out of school suspensions or expulsions for any reason? If yes, please explain. *

Does the applicant receive any tutoring or enrichment outside of school? If yes, please explain. *

Has the applicant been tested for any academic, behavioral or social issues –including IEPs, psychological testing, academic advancement tests? If yes, please explain and be prepared to provide necessary documentation. *

Any other information you would like us to know when reviewing the applicant?

Has the applicant taken a High School Placement Test? *

English Teacher Recommendation

Please give the email address of an English teacher that has taught the applicant. We will contact the teacher and ask them to complete a form for consideration. *

Math Teacher Recommendation

Please give the email address of a Math teacher that has taught the applicant. We will contact the teacher and ask them to complete a form for consideration. *

Applicant Response

To be completed by the applicant (short answers – 4-5 sentences)

Why do you want to attend The Summit Academy? *

What is your favorite thing to do in your free time? *

Have you won any awards, recognitions (academic, athletic, musical or dramatic) in your middle/high school years? Please describe what they were and why you received the honor. *

What do you hope to achieve in high school? *

Submit Application

Once we have received a complete application packet, we will schedule a personal interview with the applicant and our admissions team. If you have not heard from us within 15 business days of submitting the application, please contact us to determine what is still missing. The student is most welcome to schedule a shadow day at any time during this process. Please contact us for further information.

Digitally sign by typing parent's full name. *

Digitally sign by typing applicant's full name. *

Today's Date *