Student Participant or Referral Form

     If you are interested in having your child attend the program starting in August 2019, please complete the application form on line.  If the form is unresponsive you can click on the application below and tell your computer to print it out. Then you can answer the questions in writing and submit it by email to after scanning it into your computer. 

     Or you can mail it to PO Box 30843, Columbia, MO 65205.  You can also email us and we can send you the link for the application form as well. 

      You will be contacted by phone to further discuss your childs' enrollment needs such as transportation support, academic needs and start date. Families will be contacted based on available space and in the order of the date of application. 

Please download and print the Agreement & Consent form.  Complete the forms and submit it as part of your application.  You will be contacted once it is received. 

Call Us: (573)268-4372   /   /  P.O. Box 30843, Columbia, MO 65205

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