CARR Application

Contact Information
I would like to attend is a required field.


What summer are you applying for? is a required field.
First Name is a required field.
Last Name is a required field.
What year of school will you be starting in the Fall? is a required field.
Phone is a required field.
- -
Email is a required field.
Address is a required field.
City is a required field.
State is a required field.
Zip Code is a required field.
Educational Information
Name of High School is a required field.
What year are you in High School? is a required field.
How did you find out about CARR? is a required field.
Type of High School is a required field.

(check all that apply)











Structure of your High School Classes is a required field.

(check all that apply)







Support Services/Accommodations your receive in High School is a required field.

(check all that apply)












Are there any accommodations that you will need at CARR? is a required field.

(500 character limit)

Why do you want to attend CARR? is a required field.

(500 character limit)

College Interest Information
Which post-secondary education are you looking into? is a required field.

(check all that apply)




What type of post-secondary education have you visited? is a required field.

(check all that apply)




I think I will need support/guidance in the areas of is a required field.

(check all that apply)





I would like to Major in is a required field.
Work Experience Information
Have you ever been employed/worked a paying job? is a required field.

Stress Information
What particular situations trigger stress for you is a required field.

(check all that apply)


















How do you respond when you are very anxious - Responses is a required field.

(500 character limit)

How do you respond when you are very anxious - Coping Strategies is a required field.

(500 character limit)

How do you respond when you are very frustrated - Responses is a required field.

(500 character limit)

How do you respond when you are very frustrated - Coping Strategies is a required field.

(500 character limit)

Are you currently taking any medication? is a required field.

(500 character limit)

Social Interation Information
Friendships/Social Interactions is a required field.

(check all that apply)




















What do you do to have fun? is a required field.

(check all that apply)



















(500 character limit)

Payment Information
Payment Method is a required field.


 

Total Cost: $0