School Application

Before completing your profile application, you must agree to the following responsibilities:

You must identify two school staff members to act as service coordinators. This is to assure that there is no delay when students sign up to participate in the site.

I Agree Y N

You must verify students that attend your school within 48 hours of receipt of "Request for Verification." You will verify students by their name, birth date and a parent or guardian's name.

I Agree Y N

You must be an authorized representative of the school listed below. This will require an online . If you have one on file with your school this can be emailed to Katherine@inspired2impact.org

I Agree Y N

	* = This information will not appear on website.
	School Name:
	School Address:
	City:
	State:
	Zipcode:
	Tax Exempt #:	-
	Mission statement - 512 characters maximum (40 words)

	Size of Student Body:
	Annual Service Hour Requirement:
	Faculty Sponsor Contact:
	*Email Address:
	Phone Number:
	Secondary Faculty Contact:
	*Email Address:
	Phone Number:
	General information that you would like posted about your school. (Use this opportunity to distinguish your school from others locally and nationally in regards to your service and other offerings.)

	School Website URL:
	How did you find out about us?


	By checking this box, I verify that I have read, understand, and agree to the Terms of Use, Copyright Policy, and Code of Conduct for Inspired2Impact.org.