Community College of Rhode Island

Application to the Access Program

You may submit this application online or print it out and mail it to:

Access
Community College of Rhode Island
400 East Avenue
Warwick, RI 02886

Please note: you must have applied to the College and be enrolled in a degree or transfer program to be considered for the Access program. For more details on our program requirements, please see the Eligibility Criteria page.

Date:

First Name: Middle Initial:

Last Name:

Street Address:

City: State: Zip:

Date of Birth: Home/Work/Cell Phone:

Email: Campus:

Referred By: Degree Program:

Access Eligibility:

Low Income................................ yes no

First Generation....................... yes no

Documented Disability........ yes no


Please click below and your application will be forwarded to the appropriate campus.