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Indiana University South Bend Summer Bridge Application

Please answer these questions before continuing.

Yes No
Have you been accepted to IU South Bend?
Have you met with your advisor?
Have you attended an orientation?
Have you taken your IU South Bend placement exams?

If yes, enter your scores:

Personal Information

First Name:
Middle Initial:
Last Name:
Street Address:
Zip Code:
Phone Number: () -
Your Email:
Date of Birth:

School and Interests

Name of High School:
High School Activities:
Community Activities:
High School GPA:
SAT Score:
Intended Major:

Yes No
Are you currently employed?
How many hours per week do you work?
Where do you work?

Short Answer

Why do you want to participate in the Summer Bridge Program?