2022 SECONDARY Waiting List

Waiting List 2022

Silver Summit Academy is a rigorous, challenging educational experience. We are not an online school and we are not a school focusing on credit recovery. Students who find success at Silver Summit are highly motivated learners who take ownership in their own education and work hard to achieve their goals. Our classes require students to keep a steady and ongoing pace, and they must work both independently at home and in class to complete course work.

If you are interested in being on our waitlist, please fill out the information below. We will contact you if a spot becomes available to schedule an in person meeting with administration.

Student name *

First Name Last Name

Parent/Guardian name *

First Name Last Name

Parent E-mail *

Phone number *

When would you be interested in your student enrolling? *

What grade would your student be in at the time of enrollment? *

Student's birth date *

Month Day Year

In what school district do you reside in? *

Name of school your student currently attends *

Why are you interested in Silver Summit Academy? *

	Please check all buttons that apply.
Challenging Curriculum
College Preparation
Blended learning environment
STEAM focus
Concurrent college enrollment opportunities
Independent learning
Acceleration opportunities
Personalized learning
Not satisfied with current school
Small class sizes
Support or emotional needs
Credit Recovery
Flexible Schedule

Silver Summit Academy is a challenging educational experience where students find success through self-motivation and independent learning. In your own words, why do you feel that Silver Summit Academy would be a good choice for your student? *

What questions do you have regarding our school?

How did you hear about Silver Summit Academy? *

Please check if your student has or will participate in the following: (Note: Checking these will not disqualify your child from consideration.) *

	In South Summit District	In another Utah District	Out of State	Possibly in the future	Does not apply
AP (Advanced Placement)
CE (Concurrent Enrollment)
504 Agreement
IB (International Baccalaureate)
IEP (Special Education)
HS (Home School)

Has your student experienced any of the following: (Checking these will not disqualify your child from consideration!) *

	Yes	No
Received letters of concern regarding attendance
Appeared in truancy court
Experienced expulsion from school
Experienced suspension from school
Dropped out of school or has not been in attendance for one semester
Experienced credit deficiency for age and grade level

Note: Completing this form only ensures a spot on the waiting list. You will be invited to attend a mandatory, enrollment informational session to continue the enrollment process. Completion of this form is not a commitment to attend Silver Summit Academy. Once you have completed the form and confirmed all information herein is accurate, please check the "I agree" button below. Upon submitting this form, please understand that your child is being added to the Silver Summit Academy waiting list based on the assumption that all information provided is truthful, and that if the school should subsequently determine that one or more of the answers provided are not truthful, Silver Summit Academy reserves the right to revoke your spot on the waiting list and potentially prevent future enrollment opportunities.

Thank you for your interest in our school.