Impact Public Schools - Waitlist Application Form - SY18-19
If you have any question about this waitlist application, please call (208) 953-1540. You will be informed of your student's waitlist number upon completion of this form.
Email address *
Students Last Name *
Your answer
Student's First Name *
Your answer
Gender
Student's date of birth *
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Grade level for Waitlist (2018 - 2019) *
Student's street address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Does your child receive free and reduced lunch?
Parent/Guardian #1: First Name *
Your answer
Parent/Guardian #1: Last Name *
Your answer
Parent/Guardian #1: Phone Number *
Your answer
Parent/Guardian #1: Primary Spoken Language
Does the child live with this parent/guardian?
Parent/Guardian #2: First Name
Your answer
Parent/Guardian #2: Last Name
Your answer
Parent/Guardian #2: Phone number
Your answer
Parent/Guardian #2: Primary Spoken Language
Does the child live with this parent/guardian?
Do you have another child that has applied to Impact Public Schools?
How many?
Sibling's First Name
Your answer
Sibling's Last Name
Your answer
Siblings Grade (2018 - 2019)
How did you hear about Impact Public Schools?
Your answer
By typing my name in the box below, I acknowledge that all information provided is correct. In addition, I understand that admission to Impact Public Schools is on a space-available basis and this application is for the waitlist at Puget Sound Elementary. The waitlist is filled in the order applications are received and as spaces become available. All families will be notified of their waitlist number following the submission of this form. *
Your answer
Date
MM
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DD
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YYYY
Thank you for submitting a waitlist application to Impact Public Schools for the 2018 - 2019 school year!
A copy of your responses will be emailed to the address you provided.
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