Applications & Forms

Absence Request Form

• ARP ESSER Application - Summit Academy
• ARP ESSER Application - Summit Academy High School

• Jr. High Sports Packet
• High School Cheerleading Tryout Packet

For information on general and athlete student health, see our Notices & Plans page.

• Building Rental Agreement Effective January 18, 2024
• Building Supervisor Responsibilities

Please contact each campus regarding site availability! 

Campus Address + Contact

Chromebook Loan Agreement

Equipment Sharing Agreement

•  Field Trip Request Form
• Field Trip Lunch Form

• Fundraising Approval Form

**The Utah Legislature passed House Bill 100 this year and beginning July, 1 2025, all students who qualify for reduced meal benefits will receive their lunches for free. Breakfast will still be charged at the reduced price. A la cart items are not included in the reimbursable meal and those items will be charged at regular price.**

Students who qualify for free or reduced price lunch automatically qualify for free or reduced breakfast.

APPLICATIONS MUST BE RENEWED EVERY SCHOOL YEAR

Application Instructions
English 25-26  |  Spanish 25-26

Application for Free & Reduced Price School Meals 
English 25-26  |  Spanish 25-26

Income Eligibility Guidelines

English 25-26

For the Free and Reduced Lunch letter to parents and FAQ, please visit our Notices & Plans page.

Does your student have any of the following and required medication during school hours.

The form must be completed by parent and physician and returned to the school before any medication can be given.

•Adrenal Insufficiency Disorder 

•Allergies/Anaphylaxis

•Asthma

•Seizures

•Diabetes

•Other

Request Special Meals Accommodations

•Medical Statement to Request Special Meals

 School Climate Survey is to gather feedback from students, parents, and staff to identify strengths and weaknesses in the school environment. The survey is conducted annually, in the spring, and is used by administrators to inform school improvement efforts. Responses are anonymous and results are used to help create more supportive and effective learning environments. 

School Climate Survey Form

School Climate Survey Overview

Independence Campus Cubs Climate Survey's

Cubs Climate Survey Form (Grades K-2)

Cubs Climate Survey Form (Grades 3-5)

Cubs Climate Survey Form (Grades 6-8)

Fresh Start for School Survey Form (Grades 5-8)

Cubs Grade Level Culture & Climate Survey Form (Grades 3-8)

 K-12

• Fee Waiver Decision Appeal 25-26
• Fee Waiver Application
  • English 25-26  |  Spanish 25-26
• School Fees Notice K-6
  • English 25-26  |  Spanish 25-26
• School Fees Notice 7-12
  • English 25-26  |  Spanish 25-26

For more information on school fees, see our Policies & Procedures page.

As per the State of Utah statute for vision screening in a public schools, students in Kindergarten, 1st, 2nd, 43rd, 5th, 7th and 9th grades will receive basic Vision Screening test.  This is done in a mass vision screening at the school.  Screenings for all other grades amy also be done if a parent or teacher has a vision concern.

Vision Screening Opt-Out Form

Friends for Sight Parent Letter - English

Friends for Sight Parent Letter - Spanish