Providence Clemente Veterans' Initiative Application
The Providence Clemente Veterans' Initiative encourages and accepts applications from all veterans, regardless of race, gender identity, service years, deployment history, disability status, or discharge status.

The course is free and seeks to serve veterans who are challenged by their transition from soldier to civilian and who are looking for an engaged community of peers to explore great moments of history, art, philosophy, and literature.

Classes in Fall 2021 will take place on Zoom (online) on Monday/Thursday evenings from 6pm to 8pm. Classes will begin on Monday September 13th, but we will accept students through September 23rd..

For more information:
See our website, https://pvdvets.org/ 
Email Academic Director Dr. Mark Santow at pvdclementevets@gmail.com 
Call or text 401-480-6664.




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Name *
Date of birth *
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Full street address, including town and zip *
Email
Phone Number (please indicate if this is a cell#) *
How did you learn about the Course? *
Previous Education *
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Military branch *
Years served *
Locations served *
Do you have any learning-related needs for which you might need an accommodation (example:  hearing, sight, mobility)?  If so, please provide details below. *
First language
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Do you have access to the internet at home? *
In case we have to do some of the course online (because of the pandemic), do you have access to a tablet, computer or laptop at home?
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Do you need childcare assistance to attend class? *
If yes, how many children will need it, and what are their ages?
Do you need transportation assistance to attend class?
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If yes, please check any that apply:
Why do you want to be part of the Providence Clemente Veterans' Initiative? Please write a paragraph describing reasons why this class appeals to you. *
What is the best way to reach you? *
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