STUDENT APPLICATION FORM
STUDENT APPLICATION FORM PERSONAL INFORMATION Name _ Date of Birth (mm/dd/yyyy) Gender: Phone (Home) (Cell) Email Mailing Address Physical Address HIGH SCHOOL INFORMATION High School GPA SAT Scores: Reading/Writing Math ACT Scores: English or English/Writing Math Counselor’s Name _ Counselor’s Signature ADMISSIONS INFORMATION Have you applied to UVI? Yes No Have you been accepted to UVI? Yes No Do you plan to attend UVI? Yes No If you plan on attending another college, please name that college MEDICAL/DISABILITY INFORMATION List chronic or specific medical problems or allergies: List medications you are currently taking: EMERGENCY INFORMATION In case of an emergency, list the person(s) to be notified: Relationship with the applicant Phone: (home) (cell)_ (work)_ Email: Student’s Signature Date Parent’s/Guardian’s Name Parent’s/Guardian’s Signature Date Center for Student Success Summer Bridge Program 2023 Center for Student Success Summer Bridge Program 2023 APPLICATION AND SELECTION PROCESS Application Form and Support Documents Complete and submit the application form and other sup …
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STUDENT APPLICATION FORM PERSONAL INFORMATION Name _ Date of Birth (mm/dd/yyyy) Gender: Phone (Home) (Cell) Email Mailing Address Physical Address HIGH SCHOOL INFORMATION High School GPA SAT Scores: Reading/Writing Math ACT Scores: English or English/Writing Math Counselor’s Name _ Counselor’s Signature ADMISSIONS INFORMATION Have you applied to UVI? Yes No Have you been accepted to UVI? Yes No Do you plan to attend UVI? Yes No If you plan on attending another college, please name that college MEDICAL/DISABILITY INFORMATION List chronic or specific medical problems or allergies: List medications you are currently taking: EMERGENCY INFORMATION In case of an emergency, list the person(s) to be notified: Relationship with the applicant Phone: (home) (cell)_ (work)_ Email: Student’s Signature Date Parent’s/Guardian’s Name Parent’s/Guardian’s Signature Date Center for Student Success Summer Bridge Program 2023 Center for Student Success Summer Bridge Program 2023 APPLICATION AND SELECTION PROCESS Application Form and Support Documents Complete and submit the application form and other support documentation. Application support documentation includes a personal statement and transcript. Submit all documents together. Criteria for Personal Statement: Submit a typed double-spaced, size 12 fonts, Times New Roman, 300-500 words essay based on the following question: “What influenced you to be a part of the 2023 Summer Bridge program?” Criteria for Application Admittance: You will be eligible if: • Your application is complete and legible • You meet the academic criteria for participating in Bridge (SAT individual scores: Math – beginning at 390 and less than 520, and Reading/Writing – starting at 400 but less than 560 or ACT individual scores: Math – beginning 18 but less than 20, and English or English/Writing above beginning 19 but less than 21) • Your statement meets the criteria above). (Decisions made by the Summer Bridge team are final) • A $25 program fee will be collected once you are accepted into the program The application deadline is May 30, 2022. Submit completed applications and support documentation by email (mflemin@uvi.edu) or in person. Dr. Maria Fleming Assistant Director of the Center for Student Success/ Director of Summer Bridge RR 1 Box 10,000 Kingshill, St. Croix U.S. Virgin Islands 00850- 9781 mflemin@uvi.edu or css@live.uvi.edu