Community College of Rhode Island

Connect to College Program Application

All fields must be completed for the application to be processed.
Date:  
  
First name:  
  
Last name:  
  
Street address:  
  
City:  
  
State:  
  
Zip/Postal code  
  
8 digit CCRI ID (found on your student ID card):  
  
Primary phone number:  
  
Email:  
  
Main campus:  
 

Knight (Warwick)   Flanagan (Lincoln)   Liston (Providence)   Newport County
Is this your first semester at CCRI?*:  
 

Yes   No  
Are you a member of the Access Program?  
 

Yes   No  
*Please note, Connect for College is a program for students new to CCRI. You are only eligible if you are in your first or second semester of attendance.

If you have any questions or issues when filling out this form, please contact Rachel Wall at rwall@ccri.edu or 401-823-2384.