Select Page

Project Success Application


  • Personal Information

  • mm/dd/yyyy
    Date Format: MM slash DD slash YYYY
  • mm/dd/yyyy
    Date Format: MM slash DD slash YYYY
  • (###) ###-####
  • Parents Names

  • (###) ###-###
  • Residency Status

  • mm/dd/yyyy
    Date Format: MM slash DD slash YYYY
  • Information About Your Disability

  • mm/dd/yyyy
    Date Format: MM slash DD slash YYYY
  • **Please send a copy of your most recent documentation with this application**

    Please provide the following information on the person who first or most recently diagnosed your learning disability or dyslexia:
  • mm/dd/yyyy
    Date Format: MM slash DD slash YYYY
  • Please check the areas that are most difficult for you because of your disability:
  • High School Information

    Please provide the name and address of the high school where you graduated or are currently attending:
  • Postsecondary Education Information

  • mm/dd/yyyy
    Date Format: MM slash DD slash YYYY
  • mm/dd/yyyy
    Date Format: MM slash DD slash YYYY
  • 0.00
  • Application To-Do List

    Please make sure to include the follow when submitting the application:
  • Do not send report cards or similar documents
  • mm/dd/yyyy
    Date Format: MM slash DD slash YYYY
  • Project Success recommends applying to the program during second semester Junior year or first semester Senior year.