[Download PDF]Summit Prep Admissions Step 1 of 425%APPLICATION FOR ADMISSIONPlease upload a recent photo.Accepted file types: jpg, png, pdf.Date of Application* Desired School Year Enrollment*Desired Grade Level*Applicant Name* First Middle Last Address* Street Address City State / Province / Region ZIP / Postal Code Phone*DOB* GenderMaleFemaleSchool Presently AttendingHow long at Present SchoolSchool/Preschool/Day care(s) Previously AttendedReason(s) for LeavingHow did you hear about The Summit?Please list any Summit family referrals here Parent/Guardian 1NameSpouse Name (if not Parent/Guardian 2)Address Street Address City State / Province / Region ZIP / Postal Code (If different than applicant)Best Phone*This number isCellHomeWorkEmployer*Occupation*Business PhoneEmail* Parent/Guardian 2NameSpouse Name (if not Parent/Guardian 1)Address Street Address City State / Province / Region ZIP / Postal Code (If different than applicant)Best PhoneThis number isCellHomeWorkEmployerOccupationBusiness Phone*Email* The Summit admits students of any race, color, national, and ethnic origin to all the rights, privileges, programs, and activities generally accorded to students at the school. The Summit does not discriminate on the basis of race, color, religion, national, or ethnic origin in the administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school administered programs.Please list other children in the family, starting with the oldestChildren in the familyNameDate of BirthPresent SchoolGrade Does your child have any physical challenges (sight, hearing, speech, mobility, special medicines, etc.)?YesNoPlease ExplainDoes your child have any special needs of which The Summit should be aware (i.e., medical, emotional, behavioral, learning, etc.)YesNoPlease ExplainWhat activities has your child pursued?Has your child ever repeated or accelerated any grades?YesNoPlease ExplainWhat are your child’s special interests and talents?What, if any, are areas where we might be able to provide special help or encouragement for your child?Additional CommentsThe Summit may contact my child’s current & previous schools.YesNoHas the applicant ever previously applied to or attended The Summit Preparatory School?YesNo TRANSCRIPT REQUEST FORMParents: Please complete the information below and return to The Summit Preparatory School. Thank you, Amy Maas Admissions OffcerThe student named below is an applicant for admission to The Summit. Please provide copies of:Student grades and standardized tests scores for the current and previous two yearsDisciplinary reportsSpecial education or psychological documentationImmunization informationPlease mail or fax documents to:The Summit Preparatory SchoolATTN: Admissions Offce202 E. Walnut Lawn StreetSpringfeld, MO 65807Phone: 417.869.8077Fax: 417.986.3777 Dear Registrar:I authorize the release of the above mentioned information for my child to The Summit Prep and allow verbal and written communication for:Student's NameDOB GradeParent or Guardian’s Signature (please type)Date PAYMENT CONFIRMATIONUpon submitting this form, you are agreeing to pay a non-refundable application fee of $75. For more information call 417-869-8077.Name First Last Email* PhoneAddress Street Address City State / Province / Region ZIP / Postal Code Application Fee Price: $75.00 Credit CardAmerican ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.