Impact Academy Application 2018-19
Thank you for your interest in Impact Academy. Current Impact Academy at Orchard Lake families do not need to complete this application. Your application will be handled as outlined on the Impact Academy Web Page. Please make sure you understand the Terms and Conditions of the application process prior to hitting submit. If you are completing an application for more than one student, please complete an application for each child
Student Name *
Please complete an application for each child
Your answer
Current Orchard Lake Sibling Name (Optional)
Sibling Preference is offered and the student will automatically be enrolled if space is available.
Your answer
Your current Lakeville Elementary School *
Transportation to Impact Academy is the responsibility of the family. Impact will try and support carpool communication once enrollment is confirmed.
Required
Grade Entering 2018-19 *
Required
Student Gender *
Required
Primary Parent or Guardian Name *
Your answer
Primary Parent or Guardian Phone Number *
Your answer
Primary Parent or Guardian Email
Your answer
Primary Parent or Guardian Address *
Your answer
Additional Parent or Guardian Name:
Optional
Your answer
Additional Parent or Guardian Phone
Optional
Your answer
Additional Parent or Guardian Email
Optional
Your answer
Additional Parent or Guardian Address
Optional
Your answer
Does your family speak another language in addition to English at home?
Your voluntary response to this question will determine your application placement in the equity applicant pool.
Does your family qualify for free or reduced lunch support? *
Your voluntary response to the above question will determine your application placement in the equity applicant pool.
Required
Do you understand the terms and conditions for the Impact Academy application process. *
The full process is explained on the Impact Academy Web Site. By typing your name, you are agreeing to participate in the application process.
Your answer
How did you learn about Impact Academy? *
check all that apply
Required
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