Native Skyways to Success

Student Information

Fort Lewis College ID#

First Name

Middle Name

Last Name

What is your personal pronoun(s)?

Tribe(s)affiliation/descent/enrolled/lineage:

Birthdate

Are you 18 years or older?

Yes

No

What academic area do you plan on majoring in at FLC?

Will you be the first in your family to earn a bachelor's degree?

Yes

No

Unsure

Student Contact Information

Mobile Number

Email Address

Emergency Contact Information

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Email Address

Additional Information

Are you requesting financial support for the application fee?

Yes

No

T-Shirt Size (Unisex)

Do you have any special dietary needs (vegetarian, vegan, dairy, allergies etc.)?

Type your initials if you agree to the waiver at https://fortlewis.edu/nbwaiver
*If under 18, parent or legal guardian must initial to agree to the waiver

How did you hear about Peak Experiences?

Once you hit submit you will get a confirmation email with a link to pay the program fee.

Native Skyways to Success - Peak Program