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Admissions Application
Well hello, it's nice to meet you!
👋
We'd love to get to know you better and do some discovery to find out if NorthBridge would be a great fit for you. This should only take a few minutes - let's get started!
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Step
1
of 3
Student's Info
Name
*
First
Last
Email
*
What is your race/ethnicity?
*
American Indian or Alaska Native
Black or African American
Native Hawaiian or Other Pacific Islander
Asian
HIspanic
White
Phone
*
Are you currently in high school?
*
Yes
No
Great, what year are you?
*
Freshman
Sophomore
Junior
Senior
Okay! Have you received a high school degree or equivalent?
*
Yes
No
Great! What is your graduation year?
*
2026
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
What high school did you attend?
About You
Answer these questions to the best of your ability, it helps us get to know you better! 2-4 sentences is sufficient – don't feel like you have to share your whole story.
What inspired you to apply for 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?
Next
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 assistance 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!
Availability
Let us know your availability to attend NorthBridge sessions, so that we can pair you with an academic coach that's right for you!
Layout
What day of the weeks is your student available?
Monday
Tuesday
Wednesday
Thursday
Friday
What time of day is best for your student?
Morning
Afternoon
How would would your student prefer to meet?
In-Person
Virtual
Hybrid
Documents
Please upload a PDF copy of your college transcripts, IEP/504 Plan, Transition Plan, and most current testing.
Click or drag files to this area to upload.
You can upload up to 10 files.
Upload a copy of your class schedule (PDF or screenshot is acceptable!)
Click or drag files to this area to upload.
You can upload up to 10 files.
Next
Payment
Admission Fee
*
Price:
$50.00
I understand that I must pay a $50.00 nonrefundable fee to begin the initial Application process with NorthBridge College Success Program
Terms & Conditions
*
I agree to the terms & conditions below.
I understand that I must pay a $50.00 nonrefundable fee to begin the initial Application process at NorthBridge. This fee does not guarantee admittance into NorthBridge, but does ensure consideration for enrollment by the Admissions Committee. NorthBridge is a 501(c)(3) not-for-profit organization that seeks and accepts students for admission without discrimination against any person because of race, color, religion, national origin, disability, or gender. The Admissions Committee adheres to these guidelines when determining a student’s eligibility and appropriateness for placement in the NorthBridge program.
Do You Have a Discount Code?
--Select--
Yes
No
Discount Code
Your Price
Price:
$0.00
It's free! Welcome to NorthBridge.
Your Price
Price:
$50.00
The discount code you entered is not valid. No discount has been applied.
Payment Info
*
Card
Name on Card
How did you hear about us?
*
Social Media (Facebook, Instagram, Linked-In, etc.)
Referral (family, friend, teacher, etc.)
Transition Fair
Website
Other (please list below)
Checkboxes
First Choice
Second Choice
Third Choice
Submit
