2026 Peak Education Scholars Application

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12 Characters
1 Uppercase letter
1 Lowercase letter
1 Number
1 Special character

The application will take approximately 20 minutes to complete, not including essays.

To save progress and complete later, click "Save my progress and resume later" at the top of the page. If you have questions, please email connect@peakedu.org or call 719-389-1249.

Student Information

Please complete the following with a parent/guardian.

Student's Legal First Name

Student's Legal Middle Name

Student's Legal Last Name

Student's Preferred Name/Nickname

Date of Birth

MM/DD/YYYY

Student Email

Please provide student's preferred email (the one checked the most often, i.e. school or personal).

Student Cell Phone

If a student does not have a cell phone, leave blank.

Gender

Ethnicity

Race

Mailing Street

Apartment/Unit #

Mailing City

Mailing State

Mailing Zip Code

Current Grade Level

Current School Attending

Essay Questions

The following questions are to be completed by the student applying to be a Peak Education Scholar. Answer in complete sentences with as much detail as possible (3-5 sentences, we want to get to know you!). Once complete, please complete the rest of the form with a parent/guardian.

What is something you hope to accomplish in the future or something you are excited to learn more about? What does being successful mean to you?

Tell us about a time when something was challenging for you (school, activity or personal goal). What did you do and what did you learn from that experience?

Please tell us why you are interested in joining Peak Education. What do you hope to learn or experience in the program?

Peak Education includes workshops, activities, and events during the school year. Many of our workshops take place during the school day at your school, but some of our activities take place on the weekends or outside of school. What would help you stay committed to the program and participate regularly?

Please complete the following with a parent/guardian.

General Information

Are you a first generation college student?

Combined Household Income

Number of Household Members (Living in the house)

Is anyone in your household currently serving in the military, or have they served in the past?

What is their current military status?

Do you have internet access at home?

Has the student ever been enrolled in any of the following special programs or received these accommodations? [Select all that apply]

Are there any challenges (personal or academic, such as health issues, family responsibilities, or learning difficulties) or extenuating circumstances in your life that you feel we should know about to better understand who you are and your specific needs?

Please complete the following with a parent/guardian.

Parent/Guardian #1 Information

(Custodial) Parent/Guardian 1 First Name

(Custodial) Parent/Guardian 1 Last Name

Parent/Guardian 1 Relationship to Student

Parent/Guardian 1 Email Address

Parent/Guardian 1 Cell Phone

Parent/Guardian 1 Work Phone

Parent/Guardian 1 Other Phone

Parent/Guardian 1 Gender

Parent/Guardian 1 Primary Language (If not English)

Parent/Guardian 1 Highest Level of Education

Parent/Guardian 1 Occupation

Does the Parent/Guardian 1 address differ from the student address?

Address

Parent/Guardian 1 Mailing Street

Parent/Guardian 1 Apartment/Unit #

Parent/Guardian 1 Mailing City

Parent/Guardian 1 Mailing State

Parent/Guardian 1 Mailing Zip Code

Please complete the following with a parent/guardian.

Do you have a second Parent/Guardian?

Parent/Guardian #2 Information

(Custodial) Parent/Guardian 2 First Name

(Custodial) Parent/Guardian 2 Last Name

Parent/Guardian 2 Relationship to Student

Parent/Guardian 2 Email Address

Parent/Guardian 2 Cell Phone

Parent/Guardian 2 Work Phone

Parent/Guardian 2 Other Phone

Parent/Guardian 2 Gender

Parent/Guardian 2 Primary Language (If not English)

Parent/Guardian 2 Highest Level of Education

Parent/Guardian 2 Occupation

Does the Parent/Guardian 2 address differ from the student address?

Address

Parent/Guardian 2 Mailing Street

Parent/Guardian 2 Apartment/Unit #

Parent/Guardian 2 Mailing City

Parent/Guardian 2 Mailing State

Parent/Guardian 2 Mailing Zip Code

Please complete the following with a parent/guardian.

Does the student have siblings enrolled in K-12?

Sibling 1 Information

Sibling 1 Full Name

Sibling 1 School Attending

Does the student have a second sibling enrolled in K-12?

Sibling 2 Information

Sibling 2 Full Name

Sibling 2 School Attending

Does the student have a third sibling enrolled in K-12?

Sibling 3 Information

Sibling 3 Full Name

Sibling 3 School Attending

Does the student have a fourth sibling enrolled in K-12?

Sibling 4 Information

Sibling 4 Full Name

Sibling 4 School Attending

Does the student have a fifth sibling enrolled in K-12?

Sibling 5 Information

Sibling 5 Full Name

Sibling 5 School Attending

Does the student have more than five siblings enrolled in K-12?

Additional Sibling Information

List the first and last names as well as the school the sibling is currently attending for any additional siblings using the format shown below.

EX: Thomas Frett - Mann Middle School

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Contact Information