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Summer Bridge Application

Summer Bridge Application

Applications must be submitted by Thursday, May 22. Late application will not be accepted!


* Required fields

Name*
*
Mailing Address*
Phone and Email

GENERAL CRITERIA

EDUCATIONAL CRITERIA

ECONOMIC CRITERIA

INCOME GUIDELINES, PLEASE SELECT:

Select The Amount That Best Describes Your Family Income.

Number In Household Including Yourself:
Total Family Income Based On Prior Year Tax Return: *Add $5,940 For Each Dependent

CULTURAL BACKGROUND, PLEASE SELECT:







REFERENCE

Please Provide A Personal Reference (I.E., Teacher, Employer, Counselor/Advisor, Coach Etc.)

Title

PROGRAM PARTICIPATION, PLEASE SELECT:

Please Select If You Are Currently Participating In Any Of The Following Programs






EDUCATIONAL GOAL, PLEASE SELECT:




ESSAY*

Please attach a double-spaced typed essay that describes your future educational goals and why you want to participate in the Summer Bridge Program. This essay's maximum length is 300 words.

To attach your essay, you need to:

  1. Type your essay in Microsoft Word or in a PDF format.
  2. Save your file onto a flashdrive or onto your desktop.
  3. Attached your file and upload the file.

Butte College | 3536 Butte Campus Drive, Oroville CA 95965 | General Information 530.895.2511

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4/4/14