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Home
About
FAQs
Success Stories
Resources
Get Started
Contact Us

Complete the Short Assessment

We are so glad that you’re here to start this journey. You’ll need just a few minutes to answer a few questions. Once you’re done your navigator will contact you within 3-4 business days to begin to assist you. Please double-check the accuracy of your contact information.

Click here to get started

Step 1 of 6

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First things first!
Do you live in Rhode Island?*
- Yes
- No
In which city or town?
Highest Level of Education*

Let's learn a little about you...
What is your goal?*
- Degree: Associates or Bachelors, or Master's
- Job training or certificate
- I want to get my GED
- I want to improve my academic skills for college
- I want to improve my English
- I'm not sure
What field of study are you interested in?*
Degree: Associates or Bachelors
- Arts & Humanities
- Business, Economics and Data Analytics
- Communication, Media and Film
- Education, Government and Human Services
- Environment and Sustainability
- Health and Health Administration
- Science, Technology, Engineering and Mathematics
- I’m not sure
What industry are you interested in?*
Job Training or Certificate
- Accounting
- Education
- Healthcare and Human Services
- Manufacturing and Trades
- Technology
- Transportation
- I’m not sure

Beautiful! Tell us more...

Fill out your contact information.
First Name*
Last Name*
Phone (Home/Cell)*
Email*
Are you okay with receiving text messages about RI Reconnect?*
- Yes
- No
What is your year of birth?*
What is your gender?
What is your race/ethnicity?*
Current/Past Military Service?*
Are you currently employed?*
What industry are you (or were you most recently) employed in?*

What institution are you presently enrolled in?*
If you are not registered, which institution do you wish to enroll in?
Are you being considered for CCRI's Fresh Start Scholarship*
- Yes
- No
Are you a multi-lingual Rhode Islander pursuing a Teacher Certification?*
- Yes
- No
- Does Not Apply
What is your goal?*
- I want to improve my English
- Job training or certificate
- Bachelor's degree
- Degree: Associate or Bachelor's
- Master's
- I want to get my GED
- I'm not sure

Are you facing difficulties in attending your classes because of childcare responsibilities?*
- Yes
- No
- Not Applicable
Are you having trouble getting to class due to transportation, either public transport or problems with your vehicle?*
- Yes
- No
- Not Applicable
Are you facing any issues with food insecurity?*
- Yes
- No
- Not Applicable
Do you need help paying for groceries?
Do you need access to technology such as a laptop or the internet?*
- Yes
- No
- Not Applicable

You're almost done!

Finalize and submit your assessment.

You're on your way to a better future. If you have you any additional comments or questions you may include those below.
Additional Comments or Questions
(optional)
How did you hear about our program?*
Attestation*

I understand that this attestation may be audited and that fraudulent submissions may be investigated. I understand that by submitting, or authorizing the submission of, this form, the individual named above attests and affirms that the information provided herein is true, accurate, and complete. Please type your name in this box.
Date of Attestation*
MM slash DD slash YYYY

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RI Reconnect is an initiative of the Rhode Island Office of the Postsecondary Commissioner made possible by the generosity of Lumina Foundation.

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