2022 PALS Application

PALS Student Application Information

The Arc Gateway Program for Adult Learning and Support (PALS) is designed for individuals whose academic, social, communication, and adaptive skills are affected due to a disability. Most applicants would have received special education services in the K-12 setting and exited their secondary school with a diploma, GED or certificate of completion.

PALS is a career certificate program (not an accredited college degree program). Students will exit their chosen training program with a certificate and potentially an industry recognized certificate depending on their chosen career path.

A completed application and appropriate documentation must be submitted on or before the deadline. An incomplete application will delay the review process. It is acceptable for the applicant to receive support in completing the application. All information will be kept confidential and will not be shared without written permission from the applicant or their legal guardian.

Online applications are preferred; however, printed applications will be accepted if received at the following address on or before the deadline:

The Arc Gateway PALS
6050 N. 9th Avenue, Suite D
Pensacola, FL 32504

Material submitted becomes property of The Arc Gateway and will not be returned. Not all applicants who complete the application and meet the criteria listed and/or eligibility will be accepted into The Arc Gateway PALS. An Admissions Committee will review all applications and invite selected applicants to an interview and informal assessment. This does not guarantee acceptance into The Arc Gateway PALS. Once interviews are complete, selected applicants will receive a letter notifying them of their acceptance. In their acceptance letter, they will receive information and any additional application paperwork or procedures.

Vocational Rehabilitation is a requirement for program admission.

Questions? Call (850) 484-1185 or email pals@arc-gateway.org.

Please note that application guidelines and eligibility requirements are subject to change.

Applications must be received on or before December 3, 2021 to be considered for the Spring 2022 semester.

Student Supports (check all that apply)

Primary Emergency Contact Information

Secondary Emergency Comtact Information

Disability Eligibility Information

Education & Career Training

List past educational and/or career training programs you have attended, starting with the most recent.

PALS Career Certification

The Arc Gateway PALS offers a variety of certification options with coursework ranging between one and three semesters. Applicants must choose their career certification track prior to entering the program.

Work Experience

List work or volunteer experiences in chronological order, starting with your most recent job.

Transportation Information

Based on available funding, The Arc Gateway PALS will provide transportation for people living in most areas of Escambia and Santa Rosa counties.

Medical Information

Student Questionnaire

Personal Support Inventory

This form may be completed by the student and/or family support. "Not sure" may be used for items that are not applicable or lack personal information for rating.

Independent Living Skills

Interpersonal Skills

Social Skills and Communication

Academic Skills

Release and Exchange of Information

As an adult, students enrolled in The Arc Gateway PALS are protected under HIPAA and FERPA. The Arc Gateway, Inc. will treat and regard all written documentation obtained to verify a disability and plan for appropriate services as confidential. However, it will be necessary for The Arc Gateway PALS personnel to exchange information about you with agency staff and others in order to provide appropriate educational opportunities and experiences. This exchange will occur only with written permission, as given by signing below, and with the understanding that only information necessary for the purposes of accommodation and academic progress will be communicated.

Required Documents

Please download all the forms from the links below and upload the completed forms as an attachment. If you are unable to print or upload the forms, please contact The Arc Gateway PALS office for support at (850) 484-1185.

Admission Information
Memorandum of Understanding
Research Consent Form
Personal Statement
Release and Exchange of Information
Application Checklist