Student Application

First name

Last name

Phone

Email

Address

How did you find out about InnerQuest Collective?

Have you had any past involvement with the justice system?

Yes

No

Prefer not to share

What certifications, training programs, or apprenticeships have you participated in?

Upload Certifications

List any paid/unpaid job experiences you've held (include company name, position, responsibilities and length of employment)

Upload Resume

List anything else you’d like to share that highlights your skills or life experience?

What challenges have you faced that you hope to overcome or process through this program?

Are you currently receiving therapy or support services elsewhere? (If "YES", please specify)

What days and times are you generally available for programming?

Mornings

Afternoons

Evenings

Any Time

Do you have reliable transportation?

Yes

No

If you had one hope for yourself by the end of this program, what would it be?

Once submitted, you’ll receive a confirmation email. We’ll reach out within 3–5 business days about next steps, including an introductory conversation and orientation info.