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Office of Admissions

Clark Inclusive Scholarships Fall 2025 Application

The Clark Inclusive Scholars Program welcomes your application to join our community of learners! Complete the information below by March 1 for best consideration.

Please visit the CISP website for more information regarding admission eligibility, required supplemental materials and opportunities to visit our campus in Huron.

Supplemental materials can be sent via email to Kyle Closen, director of the Clark Inclusive Scholars Program, at kclosen@bgsu.edu. We look forward to reviewing your application!

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Student Information

First Name

Last Name

Email Address

Birthdate

Birthdate

Mobile Phone

Gender

Other Gender

Mailing Address

Mailing Address

Country

Street

City

Region

Postal Code

Academic Information

High School (Search by school name and/or city/state and select from the list that appears)

Year of High School Graduation

Which of the following best describes your level of participation in high school?
Check only one

Which of the following best describes your level of participation in high school?
Check only one

Fully included in regular classes

Attended special education classes only

Majority of time in an inclusive setting

Majority of time in special education classes

Other

Other

If applicable, please list the general education classes you completed.

What were the most helpful accommodations and/or modifications you received in high school general education courses?

Did you have homework in high school?

Did you have homework in high school?

Yes

No

Please describe the types of homework you completed (optional):

Writing Assignments

Worksheets

Reading Assignments

Presentations

Projects

Please describe specific homework accommodations and/or modifications you find helpful

Have you attended college or postsecondary training before?

Have you attended college or postsecondary training before?

Yes

No

Where did you attend college or postsecondary training?

Involvement and Employment (Optional)

What extracurricular activities were you involved in during high school?
(e.g. clubs, hobbies, sports and recreation, arts / music groups, faith-based groups, community involvement)

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Employment / Internship / Volunteer Experience
Employment / Internship / Volunteer Experience Name Start Date End Date Average hours per week Supervisor Name Primary Job Duties

Add additional experience

Agency Name

Agency City

Agency State

Agency Service Coordinator

List of services you receive:

Personal Essay

Please create a personal essay that answers the following questions. The essay may be submitted in written format or using multimedia such as video or a PowerPoint presentation. This is an excellent opportunity to showcase your critical thinking skills and your creativity. (If the applicant required support to prepare the essay, indicate who provided support and describe the support provided.)

1. What are my dreams for the future?
2. How would attending college help me reach the goals I have for myself?
3. How would attending BGSU Firelands through the Clark Inclusive Scholars Program make my life better?
4. What strengths do I have that would make me successful in completing college classes and internships?

This essay can be pasted below or sent via email to kclosen@bgsu.edu.

Essay

References

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References
Name Relationship Phone Number Email

Add another reference

Acknowledgement

I confirm I meet eligibility requirements for admission to the Clark Inclusive Scholars Program.

If admitted to the program, I will have my own cell phone and transportation to and from campus.

I certify that all information provided in this application is true and accurate to the best of my knowledge.

I consent for CISP selection committee members to access my high school records and to speak with and / or obtain relevant records from family members, school and agency personnel as part of the application review process

I confirm I meet eligibility requirements for admission to the Clark Inclusive Scholars Program.

If admitted to the program, I will have my own cell phone and transportation to and from campus.

I certify that all information provided in this application is true and accurate to the best of my knowledge.

I consent for CISP selection committee members to access my high school records and to speak with and / or obtain relevant records from family members, school and agency personnel as part of the application review process

I agree that all information provided above is accurate.

Parent Information

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Parent Information
Relationship Type Parent First Name Parent Last Name Parent Address Parent Address Country Street City Region Postal Code Parent Email Parent Phone

Add another parent

Parent Acknowledgement

As the parent / guardian of the application, I certify that all information provided in this application is true and accurate to the best of my knowledge.

As the parent / guardian of the application, I certify that all information provided in this application is true and accurate to the best of my knowledge.

I agree

Parent Name