• Summit Learning Charter logo

  • We are accepting applications for the 26/27 school year for students in grades KG-12!

  • Which program are you applying for?*
  • If you selected our Early College Program, which college are you interested in attending?*

  • Contact Information

  • Student's Date of Birth*
     - -
  • Mail Address - Does student receive US Mail at the above address?*
  • Format: 000-000-0000.
  • Does the student have their own cell phone?
  • Format: 000-000-0000.
  • Does the student have their own email address? ( If same as parent, check 'No' )

  • About The Applicant

  • Gender at Birth?*
  • Student's Gender Identity? (optional)

  • Ethnicity?*
  • Race? Federal regulations require that we report Race as well as Ethnicity. (Select all that apply)*

  • The following question is used to determine whether a student meets the Title III definition of an immigrant child and youth. 

    This is used to calculate and disperse additional funds to qualifying schools and to meet reporting requirements. 

    This information may also provide additional funds for aiding the education of recently arrived/Immigrant students.

  • [Optional]  Has the student had less than three cumulative years of schooling in the United States?                                                                                                          AND Was the student born outside of the United States?  (only answer Yes if both are true)
  • Please indicate what preferred language the parent or guardian would like when communicating with the school.*

  • Has the student and/or parent moved in the past 5 years with the intent to seek full-time or seasonal employment in agriculture, forestry, or fishing work.*

  • Education History

    Please complete as much of this section as possible.
  • Is the student currently enrolled and attending school in any way (including home school)?*
  • In what school year did the student last attend?*

  • Which best describes the student's current school status?*
  • Please select below if you are requesting any of the following services for your student at Summit Learning Charter.*
  • Has this applicant student ever been enrolled in one of Estacada School District's programs (Including Charter Schools)
  • Which Estacada School has applicant student attended?
  • Does this student applicant have a brother or sister currently enrolled in one of our Charter Schools?*
  • Which program is the brother or sister attending?*

  • Parent/Guardian Information

  • Student Lives with? *


  • PARENT MILITARY CONNECTION. Is one or more parent or guardian a full-time member of the Army, Navy, Air Force, Marine Corps, Coast Guard or full-time National Guard Member. OR Is one or more parent or guardian on active duty for at least 180 days with a military reserve unit?*

  • Guardian1 Information

  • Which phone number(s) may we use to contact Guardian 1?*
  • Format: 000-000-0000.
  • Format: 000-000-0000.
  • Is the Guardian 1 email address the same as the primary address provided above or different?*
  • Is the Guardian 1 Mailing Address the Same as the applicant student?

  • Emergency/Alternate Contact Information

  • Guardian 2 Information

  • Would you like to add a 2nd guardian's contact information?
  • Which phone number(s) may be used to contact the Guardian 2?
  • Format: 000-000-0000.
  • Format: 000-000-0000.
  • Is Guardian 2 email address the same as the primary address provided above or different?
  • Is Guardian 2 Mailing Address the same as the Applicant Student?

  • Other Information

  • How did you learn about our programs? (Check any that apply)*
  • I understand that upon offer of enrollment in SLC I must give an 'Intent to Enroll in Virtual School' Form to the school district in which my student lives and either should be or is currently attending school. By my signature below, I grant permission to Summit Learning Charter to act as my agent and on my behalf to submit the 'Intent to Enroll Form' to my resident school district.*

  • Title IX... "No person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any education program or activity receiving Federal financial assistance."
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