Apply Now

14%

Applicant and Family Information
Students Name*
First Last
Preferred Name (if not first name)
Address*
Street Address Address Line 2 City State ZIP Code
Student Cell Phone
Student Email*
Date of Birth*
MM
DD
YYYY
Please identify family members or others who are supporting your application to EDGE Learning and Wellness. Also, indicate whether EDGE Learning and Wellness may discuss your application directly with each person:
Name*
First Last
Relationship*
Phone Number*
e-mail*
EDGE may contact?*
- Yes
- No
Add another family member ?*
- Yes
- No
Name of family member*
Relationship of family member*
Family member email*
Family Member Phone*
May EDGE Contact ?*
- Yes
- No
Referred By?*

EDUCATION
EDGE Learning and Wellness invites applicants who are enrolled in, or plan to enroll in, a college or university in the Chicago metropolitan area. If you are willing to explore admission to a school in Chicago but have not yet chosen one, we will consider your application.
Please describe your academic preparation to date:
High School (most recent attended):
School Name*
City*
State*
Date Graduated*
MM
DD
YYYY
Did you complete a GED as an alternative to high school?*
- Yes
- No
Please indicate the date you successfully passed all exams related to the GED:*
MM
DD
YYYY

STRENGTHS, PLANS AND SUPPORTS:
In order to help us determine if an EDGE Learning and Wellness experience is right for you, please take some time to share with us your thoughts about yourself and your vision for the future.
What areas of study or what careers interest you? List as few or as many as you would like.*
What excites you about going to college?*
What experiences have prepared you to be successful in college and beyond?*
I am committed to living in a substance-free community*
- Yes
- No

THE COMMUNITY AND YOU:
Our community is a place where you give and receive support from others who are on a similar path. Please write a short essay (200-500 words) about your vision of living in a community. You may choose to describe what you might contribute to the community and what you would like to gain from the community, you may want to discuss your “ideal community”, or you may go in a different direction altogether.
Essay*

Additional Comments
Please add any other information that you would like EDGE Learning and Wellness to consider in the application process.

Applicant and Family Information