Form

Thank you for submitting your application to our Countdown to College program!
We're thrilled about the prospect of supporting your students over an 8-week period with our digital programming.

Please note that the program fee is $1200, with additional support options available for those who might need them. The application period concludes on April 1, and we will be in touch with all applicants by April 10.

First Name*

Last Name*

Email*

Phone Number*

School/Organization*

Number of Students*

Student Info

Senior Student

Transfer Student

Other

Financial Hardship

Are there any financial constraints or hardships you're currently facing that might hinder your ability to cover the $1200 fee? If applicable, please provide details