Please fill out as many of the questions below as possible so that we can serve you better, faster, and more effectively. Remember: our services are always FREE.  We will NEVER sell or give away your information. 

This form may take 5-10 minutes to complete, but it will allow us to tailor advising services to you and other opportunities immediately. After you submit the form, you will see a page with a link to make a 15-minute telephone appointment with a Detroit Reconnect Success Coach. 

Thank you, and we look forward to assisting you.

Detroit Reconnect Team

Your email will be used to contact you for advising. You will also receive occasional newsletters, information about opportunities for Reconnectors like you and requests to update your information in our records. You will always receive opt-out options for all.

The following information is considered confidential by many people. We are concerned with your privacy as well. Please know that this information is used only in aggregate, for fund-raising purposes, so that we may continue to provide our services for free. We appreciate your support as you consider providing the requested information.


By submitting this form, I give permission to Detroit Reconnect to forward my information to its partner institutions for the purpose of assisting with my college admissions/enrollment.

I give permission to the Admissions/Office of Enrollment Management/Registrar of the College/University I shall be attending to release to Detroit Reconnect information verifying my enrollment status and my official transcript.

I fully understand that all information given on this application and information released to Detroit Reconnect or its partner institutions is protected by the Family Educational Rights and Privacy Act of 1974 and, therefore, will be kept confidential. Detroit Reconnect promises it will NEVER sell or give away personal information.

If you have questions now or later, please contact Vester Waters, Manager of Adult Degree Completion, at 

I understand by clicking the box below indicates that:

1) I permit my college/university of enrollment to disclose my student records related to enrollment status, student account information, financial aid award, academic progress, and participation in institution-sponsored programs and subject to the law and applicable policies.

2) This is a standing consent that covers from the date of consent through the duration of my

participation in the Detroit Reconnect program.

3) This release extends to partners of the Detroit Reconnect program that are providing college advisement and persistence and completion support and any scholarship or other financial aid assistance.

4) Detroit Reconnect may not request changes to the student record.

5) The following items are NOT covered by this release: letters of recommendation, disciplinary,

behavioral, counseling services, health services, and accessibility services records.

If you agree, click box the below then submit.