PROGRAM FOR ADVANCEMENT OF LEARNING (PAL)

PROGRAM FOR ADVANCEMENT OF LEARNING (PAL) - SUPPLEMENTAL APPLICATION

Fields marked with * are required

First Name *

Last Name *

Email *

Street Address *

City*

State*

Zip*

Country

Phone *

Date of Birth

Format: MM/DD/YYYY

Applying as
(check all that apply) *

Freshman

Transfer

For the following session(s) *

and/or

To be completed by the student

Question 1: Please briefly describe your learning disability in your own words.

Question 2: How does your learning disability impact your work in school and your life outside of school?

Question 3: What would you say are your learning or other strengths (i.e., what comes easily to you)?

Question 4: What high school or college do you now attend? Where is it? How long have you attended there?

Question 5: When did you first begin to receive learning disability or related services? What kind of service and how much? Describe the kind and amount of support you have received throughout your education until the present year.

Question 6: What kind of support and/or accommodations, and how much, do you receive in your current or most recent school? Include all things such as Resource Room assistance, untimed testing or other testing accommodations, books on tape, special teacher aides, note takers, or private tutoring outside of school.

Question 7: In considering your application, is there anything else that affects your ability to learn, or any other information about you that you feel we should know?

Question 8: PAL also offers specialized support if a student's native language is not English. What is your first language, and what language is spoken in your home?

Have a question? Send email to pal@curry.edu or call PAL at (617) 333-2250.