Our initial application window has closed; however, interested applicants can still apply to be put on our alternate list to be considered for enrollment in the order they are received. 

Incoming 7th and 8th Grade Application

Please complete the form below or print a hard copy and deliver to: 

Global Impact
Attn: Jill Anon
700 South Limestone Street, Suite B
Springfield, OH 45505
Email: janon@globalimpactacademy.org
Fax: 937-328-6655

Student Information
Student Name *
Student Name
Address *
Address
Phone *
Phone
Date of Birth *
Date of Birth
Parent/Guardian Information
Parent/Guardian #1 *
Parent/Guardian #1
Daytime Phone *
Daytime Phone
Cell Phone *
Cell Phone
Enter the same as daytime phone if applicable.
Parent/Guardian #2
Parent/Guardian #2
Daytime Phone
Daytime Phone
Cell Phone
Cell Phone
Enter the same as daytime phone if applicable.
Student Survey