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    Thrive Application

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    Applicant Contact Information
    Birthdate
    Birthdate
    Mailing Address
    Mailing Address
    Thrive Specific Questions
    Have you been diagnosed with a Learning Disability in any of the following areas?
    Have you been diagnosed with a Learning Disability in any of the following areas?
    Have you received any Accommodations and/or Special Services in the past three years?
    Have you received any Accommodations and/or Special Services in the past three years?
    Have you had an Individualized Education Plan or 504 Service Plan written in the last 12 months?
    Have you had an Individualized Education Plan or 504 Service Plan written in the last 12 months?
    Have you had a multi-factored evaluation or psychological evaluation completed in the last three years?
    Have you had a multi-factored evaluation or psychological evaluation completed in the last three years?
    Material Upload
    Please upload any relevant material to your application. 
    Material not uploaded here will need to be sent to Director Denise Brown-Triolo, Ph.D. at dbrowntriolo@ndc.edu

    STATEMENT OF FULL DISCLOSURE AND SIGNATURE OF APPLICANT
    By completing this application, I am applying for admission to the Thrive Learning Center of Notre Dame College, and I am aware that participation in the center will carry an additional fee of $2,800.00 per semester of use, payable to Notre Dame College.

    Furthermore, I certify that the information I have provided is complete and accurate to the best of my knowledge. I understand that falsification or misrepresentation of any information may result in denial of admission or dismissal from Notre Dame College. If I am accepted by Notre Dame College and choose to enroll, I understand and agree that I will be expected to abide by all of the College's rules and regulations.
    Electronic Signature 
    (Please check "Yes" to confirm this application)
    Electronic Signature 
    (Please check "Yes" to confirm this application)
    Date
    Date
    Admissions standards and policies are free of discrimination on grounds of race, creed, color, natural origin, age, sex, or handicap as defined by the law.
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