Application

2023-2024
Application for AdmissioN

Summit Academy Charter School bridges the gap between aspirations and realities by preparing 6th through 12th grade students to gain acceptance to, excel in and graduate from college by using three pillars of success: Mastery of core subjects, Character building, and Community leadership.

Only completed applications will be considered. Separate applications must be completed for each student. Summit Academy Charter School is a public school and does not discriminate in any way including on the basis of ethnicity, national origin, religion, gender, or disabilities.

First Name *

Last Name *

Address *

City *

Zip *

Current School *

Osis Number *

Date of Birth *

Grade Applying For *

Scholars Gender *

Do you live in School District 15? *

Does the scholar have an additional sibling(s) who you are also applying for? *

Does the scholar have a sibling who currently attends Summit Academy? *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Relationship to Scholar *

Lives With *

Parent/ Guardian Address *

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone *

Cell Phone *

Email *

How did you hear of us?

Date *

Agreement

I understand that my signature indicates a desire to enter my child into the public lottery, however, admission into Summit Academy is not guaranteed.

Do you understand and agree to the terms listed above? *

Yes, I understand and agree to the terms listed above.

Application

2023-2024 Application for AdmissioN

Summit Academy Charter School bridges the gap between aspirations and realities by preparing 6th through 12th grade students to gain acceptance to, excel in and graduate from college by using three pillars of success: Mastery of core subjects, Character building, and Community leadership.

Only completed applications will be considered. Separate applications must be completed for each student. Summit Academy Charter School is a public school and does not discriminate in any way including on the basis of ethnicity, national origin, religion, gender, or disabilities.

Agreement

2023-2024
Application for AdmissioN