Impact Launch

Impact Launch 27/28 Application

First name

Last name

An email you, the student, has access to outside of school.

Phone

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Now share some information about your Parent/Guardian. We will include them on email communications through the application process, but it is your responsibility to make sure they are informed.

Parent(s)/Guardian(s) First & Last Names

Phone

Please take some time to share with us some short answers to give us insight into you and your goals.

Why are you interested in participating in a Gap Year?

What do you hope to gain by joining Impact Launch?

What do you think your biggest strength is right now?

What area of your life do you most want to grow in this year?

How do you feel about being part of a group that meets regularly?

Do you currently plan to work, volunteer, or intern during your Gap Year? If so, please describe.

Is there anything you’d like us to know about your story, challenges, or goals?