College Living Experience – A College Program for Students with Special Needs

Admissions > Application Form

Application Form

Your Information

Are you a*:

First Name*:

Last Name*:

From E-Mail*:

Address*:

City*:

State*:

Zip Code*:

Home Telephone*:

Alternative Telephone:

Student Information

Student Name:

Age/Grade:

Current School / Program:

Referred By:

Comments or Questions:

Please make sure you've filled out everything correctly.

* denotes required field.

"Dan has a knack for exceeding our expectations, so we never sold him short when he said he wanted to study journalism and experience independence away from home. Now, after his experience in CLE, our son cooks for himself, organizes outings to sporting events and plans to continue his education at a four-year university. His new-found cooking skills even inspired him to turn over a healthy leaf and lose 12 pounds!"

-- Cliff and Michelle,
parents of CLE student

Contact

1321 Murfreesboro Pike, Suite 702
Nashville, TN 37217
Toll-Free: 800-486-5058
Phone: (615) 361-4000
Fax: (615) 577-5695

Have a CLE representative visit your school or organization

CLE has been awarded the 2008 / 2009 Excellence in Education Award by Woodbury Reports