Please be as detailed as possible in this application to help us better understand your situation.
Things to remember when applying to the program
Notes On Eligibility
Other Expectations
Our Services
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This section is about how we can reach you regarding your application, and how you would like us to identify you. The information you provide will be used to arrange any follow up, including possible intake and assessment interviews.
Thinking about your current situation, on a scale of 1 (poor) to 10 (excellent), please rank yourself on the following life skills:
Please indicate “yes” or “no” regarding your ability/willingness to do the following for yourself:
Emotional Regulation
Your submission has been received.