UPIKE FIRST Summer Bridge Program Application 2024

UPIKE FIRST Summer Bridge Program Application 2024
First Name *


Middle Name


Last Name *


Preferred Name


High School *


UPIKE email


Personal email *


Cell phone number *


T-shirt size *


Emergency Contact Name(s) and Relationship to You *


Emergency Contact Number(s) *


Intended major *


Intended Career Pathway *


Are there any other majors or careers that you would like to have more information on?


Have you completed your 2024-2025 FAFSA? *


If you were selected for verification by KHEAA or were notified of any other issues related to your financial aid package, have you completed/resolved them? *


Are you currently registered for a GROWL session? *


Have you taken dual credit courses during high school that you will receive college credit? If yes, list courses and college(s) courses were completed through. *


Do you own a personal laptop/device? *


On a scale from 1-10, please indicate your level of challenge with Time Management.


On a scale from 1-10, please indicate your level of challenge with Study Skills.


On a scale from 1-10, please indicate your level of challenge with Stress Management.


On a scale from 1-10, please indicate your level of challenge with Decision on a Major.


On a scale from 1-10, please indicate your level of challenge with Confidence in Your Major.


On a scale from 1-10, please indicate your level of challenge with Confidence in Your Career Choice.


On a scale from 1-10, please indicate your level of challenge with Advocating for Yourself.


On a scale from 1-10, please indicate your level of challenge with Using Technology.


On a scale from 1-10, please indicate your level of challenge with Confidence in Writing.


On a scale from 1-10, please indicate your level of challenge with Confidence in Math.


On a scale from 1-10, please indicate your level of challenge with Financial Planning and Budgeting.


Why are you interested in the UPIKE FIRST Summer Bridge program? *


What are you hoping to gain from the experience? *


Do you have access to reliable transportation to and from campus multiple days/week? *

Comments:



Do you foresee any circumstance that will interfere with you attending course meetings? *

Comments:



By providing my e-signature, I understand attendance is required and I will earn a grade for a two credit hour course for the successful completion of FS 102. *