TAPESTRY Program Information Request

TAPESTRY Program Information Request

To receive additional information about the UAA TAPESTRY program and an application please complete the form below. We are currently accepting applications for the 2022 Summer Academy and 2022 Fall Semester.
Name *

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Preferred Phone Number *

Area Code Phone Number
Alternate or Message Phone Number

Area Code Phone Number
Email
Alternate Email
This can be a parent's email or another email address you use.
Birth Date

Month Day Year
Name of High School
Name of the High you attend now
Interested in:

The Summer Academy The Workforce Credential Program Both!
TAPESTRY Admission Requirements
If you can answer YES to all questions, you are eligible to apply for this program. Once you submit this request a TAPESTRY Counselor will contact you with an application.
Are you currently between the ages of 16-26 years? *
Can you provide a copy of your most recent IEP or 504 plan? *
I understand that I must be in a stable living environment to participate in this program. *
I understand that I must have reliable transportation to participate in this program. *
I understand I must be able to be independent and unsupervised while on campus, with or without a support person. *
I understand that I must commit to attending all activities assigned as a TAPESTRY participant. *
Should be Empty: