Getting Started College Initiative Interest Form College Initiative (CI) is a college preparation program and community for students with past criminal legal system involvement who are committed to pursuing higher education. Please fill out the form below and we can schedule an intake appointment. If you have any questions, feel free to reach out to our Coordinator of Intake Services, Ashtin Audain, at 646.781.5118 Please note that College Initiative is not accepting new students at this time. We will resume meeting with interested participants in March 2021. If you are interested in joining CI we encourage you to complete the form below. Once completed, we will confirm receipt within a week and look forward to speaking further in March. Fields marked with an * are required First Name Last Name Phone Email Address Highest Level of Education No GED/High School Diploma GED or High School Diploma Some College Associate’s Degree Bachelor’s Degree Master’s Degree Other If “Other” please specify How did you learn about our program? (Check all that apply) Fedcap Fortune Society Friends of Island Academy Getting Out and Staying Out (GOSO) Housing Works Hudson Link New York State correctional facility Osborne Association Prison-to-College-Pipeline (P2CP) Rikers Samaritan Daytop Village Women’s Prison Association Word of Mouth Other If “Other” please specify Have you ever been a part of College Initiative before? Please select…YesNo If you are a provider or family member who is referring an applicant to College Initiative, please list your name and your relationship to the applicant. Anything else you want to tell us? Contact Information