College H.E.L.P. Application

In addition to filling out this form, make sure that you have:

Please fill out this entire form. Take note of the additional steps required to complete your application. Once applications materials are submitted, the College HELP Team will review your information and contact you with a decision on an interview. Fall applications are due by April 1 and Spring applications are due by November 1. The application to Marshall University is a separate process. If you have any questions, call 304-696-6252 or email help@marshall.edu.

College H.E.L.P. Application

Basic Student Information

Name(Required)
(90x-xxx-xxx)
Address(Required)
MM slash DD slash YYYY
Marshall University Student Status(Required)
Example: I have prior/current higher education experience at the following colleges/university: Acme University, John Smith College

Parent(s)/Guardian(s)

Parent/Guardian Name 1
Parent/Guardian Name 2

Emergency Contact

Primary(Required)
Secondary(Required)

Psychoeducational Testing & Academics

Copies of testing with a diagnosis of ADHD and/or SLD must be submitted to complete the application process. Testing must include an intelligence test and an educational evaluation assessing reading, math, and written language, which are no more than three years old. Provisional admission to College H.E.L.P. is possible pending updated testing. (Learn more about our diagnostic services at www.marshall.edu/help/diagnostics).
MM slash DD slash YYYY
MM slash DD slash YYYY
Diagnostic Information
Please check the diagnosis you have received that makes you eligible for our services
Please list any additional diagnoses that have been formally assessd.
Academic Difficulties
Check the areas that you struggle the most with in school. Check all that apply

Academics

MM slash DD slash YYYY
List academic areas (e.g. reading, writing, math, etc.) that required some type of academic support services or accommodations (e.g. tutoring, learning disability services, extended time, etc.) while in high school,

References

You are required to list two references (not including family members) and contact information for each.

Almost done

In order to complete the application process . . .
Check mark each of the areas below to indicate your understanding of the steps and documentation required to complete your application. Incomplete applications will not be processed or considered.

H.E.L.P. Contact and Updates

Contact Us

Marshall University HELP Program
520 18th St.
Huntington, WV 25703

What’s New

For more information:

Name(Required)
I would like more information about the following area(s):(Required)