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PIE Program Inquiry
Please complete this form so we track your interest in the Program for Inclusive Education at Fitchburg State (PIE) and if you are affiliated with adult agencies or a public school district. If you are interested in receiving an application for 2026-27, we are accepting pre-applications. There are NO Spring Admits.
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* Indicates required question
Student's Name
*
Your answer
Student's Date of Birth (must be at least 18)
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MM
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DD
/
YYYY
Parent/Guardian's Name
*
Your answer
Mailing Address
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Your answer
Student's Email Address
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Your answer
Parent/Guardian's Email Address
*
Your answer
Program of Interest (passions, degree program, etc.) -
We are not a degree seeking program, but this helps us narrow in on potential classes.
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Your answer
Prospective Enrollment Date (
*Program begins in the Fall, no Spring admits*
)
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MM
/
DD
/
YYYY
Have you attended an information Session
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Yes
No
Not Sure
If Yes, when?
MM
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DD
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YYYY
Are you affiliated with an adult agency?
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DDS
Mass Ability (formerly MRC)
MHA
MCDHH
None
Other:
School District
*
Your answer
Are you affiliated with a school district?
*
Yes
No
Did you receive a high school diploma?
*
Yes
No
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