Clemson University Spectrum Program Application

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Please complete and submit this form as part of your application packet. The application will be used by the Spectrum Program Committee to better understand your strengths, support needs, past accommodations, and goals. You can submit this application at the same time as your application to Clemson University or after your acceptance to the University. You must be admitted to Clemson to participate in the Spectrum Program. An interview and reference forms are also required as part of the Committee's decision making process. *Incomplete applications will not be reviewed.

Email *

First Name *

Last Name *

Preferred Name

Date of Birth *

YYYY

Age *

Gender (If you do not wish to disclose, please reply "prefer not to answer") *

Ethnicity (If you do not wish to disclose, please reply "prefer not to answer")

Address *

City *

State *

Zip Code *

Cell Phone Number *

Email Address *

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