Admissions Application
Student Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
What is your race/ethnicity?
Please Select
American Indian or Alaska Native
Black or African American
Native Hawaiian or Other Pacific Islander
Asian
Hispanic
White
Are you currently in high school?
Yes
No
Great, what year are you?
Freshman
Sophomore
Junior
Senior
Have you received a high school degree or equivalent?
Yes
No
Great! What is your graduation year?
Please Select
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
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1991
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1989
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1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
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1943
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1941
1940
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1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
What High School did you attend?
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Your NorthBridge Journey
How did you hear about NorthBridge?
Please Select
How did you hear about us?
Referral (family, friend, teacher, etc.)
Transition Fair
Website
Other
(Other) How did you hear about NorthBridge?
What inspired you to apply to NorthBridge?
*
Give a summary of any learning differences, troubled areas, or challenges that the student has or suspect they have.
*
What are your career or post-secondary goals?
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Academic Info
What school or institution are you attending/planning to attend?
Are you registered with Disability Resource Services (DRS) on campus?
Yes
No
Have you submitted a FAFSA yet?
Yes
No
Are you receiving financial aid from any of the following?
Grants
Student Loans
Scholarships
Other
Scholarship funds may be available! Would you like someone to follow up with more info?
I'm interested!
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Availability
What days of the week is your student available?
Monday
Tuesday
Wednesday
Thursday
Friday
What time of day is best for your student?
Morning
Afternoon
How would your student prefer to meet?
In-Person
Virtual
Hybrid
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Documents & Payment
Please upload a copy of your college transcripts, IEP/504 Plan, Transition Plan, etc.
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Please upload a copy of your class schedule
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Application Fee
This fee does not guarantee admission into NorthBridge, but does ensure consideration by the Admissions Committee.
$
50.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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