Admissions Application

Admissions Application

Admissions Application
Student Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
What is your race/ethnicity?
Are you currently in high school?
Great, what year are you?
Have you received a high school degree or equivalent?
Great! What is your graduation year?
What High School did you attend?

Your NorthBridge Journey
How did you hear about NorthBridge?
(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?

Academic Info
What school or institution are you attending/planning to attend?
Are you registered with Disability Resource Services (DRS) on campus?
Have you submitted a FAFSA yet?
Are you receiving financial aid from any of the following?

Other
Scholarship funds may be available! Would you like someone to follow up with more info?

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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My Products

Application Fee

This fee does not guarantee admission into NorthBridge, but does ensure consideration by the Admissions Committee.

$50.00

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty: