Summer Bridge Application

	Personal Information
Last Name:
First Name:
UTB or TSC Student ID:
Address: (Street, City, State, Zip)
Phone:
Email:
	Classification
High School Grade Level:	High School Senior High School Junior Other
If you chose, "Other" in the above option fill in here:
High School Attended:
High School Graduation Date:
High School GPA:
Have you ever applied at UTB:	Yes No
Have you taken the COMPASS?	Select an option Yes No
COMPASS Scores:	Reading    Math       Writing
Have you taken the ACCUPLACER?	Select an option Yes No
ACCUPLACER Scores:	Reading    Math       Writing
Have you taken the ACT?	Select an option Yes No
ACT Scores:	Reading    Math       English    Science
Have you taken the SAT?	Select an option Yes No
SAT Scores:	Critical Reading    Mathematics       Writing
What would you like to study in college?
Will you be attending UTB?	Yes No
Have you applied to UTB and been accepted?	Yes No
Are you currently working?	Yes No
	Community/University Involvement
Are you a member of any clubs, organizations, sports and/or hobbies not related to High School?	Yes No
Are you interested in being involved in any clubs, organizations, sports in the college campus you choose to attend?	Yes No
Briefly state why you want to attend UTB and identify characteristics you think are important to be an effective college student.