The Spectrum Support Program serves a finite number of students each year. At this time, we are no longer actively considering applicants for the upcoming Fall 2021 semester. If you wish to be added to the waitlist, please complete this form and all supporting questionnaires.

Once we receive all application materials, you will be officially added to the application waitlist. As spaces become available, you will be contacted to schedule an application meeting with our staff to determine eligibility for services.

Application Request Form

Permanent Address

Student Phone

Parent/Guardian Information

Parent/Guardian Address

(if different than Permanent Address above)

Parent/Guardian Phone/Email