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UPIKE FIRST Summer Bridge Program Application 2023
UPIKE FIRST Summer Bridge Program Application 2023
First Name
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Middle Name
Last Name
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Preferred Name
UPIKE email
Personal email
*
Cell phone number
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T-shirt size
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Small
Medium
Large
X-Large
XX-Large
XXX-Large
XXXX-Large
Emergency Contact Name(s) and Relationship to You
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Emergency Contact Number(s)
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Intended major
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Intended Career Pathway
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Are there any other majors or careers that you would like to have more information on?
Have you completed your 2023-2024 FAFSA?
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Yes
No
I don't know
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?
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Yes
No
I don't know
Are you currently registered for a GROWL session?
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Yes
No
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.
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Do you own a personal laptop/device?
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Yes
No
On a scale from 1-10, please indicate your level of challenge with Time Management.
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On a scale from 1-10, please indicate your level of challenge with Study Skills.
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On a scale from 1-10, please indicate your level of challenge with Stress Management.
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On a scale from 1-10, please indicate your level of challenge with Decision on a Major.
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On a scale from 1-10, please indicate your level of challenge with Confidence in Your Major.
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On a scale from 1-10, please indicate your level of challenge with Confidence in Your Career Choice.
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On a scale from 1-10, please indicate your level of challenge with Advocating for Yourself.
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On a scale from 1-10, please indicate your level of challenge with Using Technology.
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On a scale from 1-10, please indicate your level of challenge with Confidence in Writing.
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On a scale from 1-10, please indicate your level of challenge with Confidence in Math.
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On a scale from 1-10, please indicate your level of challenge with Financial Planning and Budgeting.
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Why are you interested in the UPIKE FIRST Summer Bridge program?
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What are you hoping to gain from the experience?
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Do you have access to reliable transportation to and from campus multiple days/week?
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Yes
No
Comments:
Do you foresee any circumstance that will interfere with you attending course meetings?
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Yes
No
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.
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I will have the option to complete a math course as part of the UPIKE FIRST Summer Bridge Program. By providing my e-signature, I understand attendance is required and I will earn a grade for the successful completion of either MTH 100 (one credit hour) or MTH 105 (two credit hour).
*
