IMPACTdmv Interest Form
We are currently taking applications for our School Year 2026-2027 programs and workshops. Whether you’re a rising senior figuring out the college application process, or a 9-11th grader looking to become a future competitive college applicant, or a college student/recent grad interested in helping us further our mission, we want to hear from you! Let us know who you are and what you're interested in and we'll email formal applications.
Full Name
*
First Name
Last Name
Phone number
*
-
Area Code
Phone Number
Please use a personal email, not your school email — school accounts often block outside messages.
Email
*
example@example.com
Instagram handle
*
LinkedIn URL
Current grade level
*
9th
10th
11th
12th
College Freshmen
College Sophomore
College Junior
College Senior
Not a current student
Other
Current School
*
County or city
*
Prince George's County
Montgomery County
Washington, D.C.
Charles County
Anne Arundel County
Baltimore area
Northern Virginia
Somewhere else
What are you interested in?
*
School year 2026-2027 Programming
IMPACT AI Academy - 8th-11th grade only - College prep, Career exploration, and Leadership development
IMPACT Your Acceptance Bootcamp - 12th grade only - College application help for rising seniors
Community Service Hours
Internship Opportunities
Employment Opportiunities
Not sure yet — tell me more.
Other
Parent Contact Information
Parent name
*
First Name
Last Name
Parent email address
*
example@example.com
Parent phone number
*
-
Area Code
Phone Number
How did you find us?
*
Instagram
TikTok
LinkedIn
A friend or classmate
A teacher or school counselor
An IMPACT event
A current or former IMPACT scholar
Other
Thank you for applying!
Please be on the lookout for a follow up email
Submit
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