PI Program Freshman Intake Form

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Freshmen should complete this form to apply to the Providence Institute (PI) Program. Please add as much information as possible to this form so Student Academic Support Services (SASS) Staff and PI Peer Mentors can provide individualized support.

Please type your full name below: *

Please add a personal email that we can use to reach you: *

What is your living situation for the upcoming academic year? *

I plan to live on campus

I plan to commute to campus

Are you a student athlete? *

Yes, I will be a student athlete this semester.

Yes, I plan to be an athlete in a future semester.

No, I am not a student athlete.

Please type your declared major OR academic field of interest (write Undeclared if unsure): *

Has anyone in your immediate family (parents, guardian, siblings, etc.) earned a college degree? *

Yes

I'm unsure

Which words best describe your feelings when you think about college? Choose all that apply: *

Excited

Nervous

Overwhelmed

Afraid

Confident

Unsure

Other:

Required

Is there anything else you would like SASS Staff or your PI Peer Mentor to know about you? *

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