2012 Summer Bridge Program Application

Application deadline varies per institution. Please contact Jennifer Sowers sowersjb@jmu.edu if you want more information about your institution¹s application process for participation in the 2012 Summer Bridge Program.

Please select which college you have been accepted to:

Blue Ridge Community College	Bridgewater College
Eastern Mennonite University	James Madison University

Personal Information First Name MI
Last Name
Gender

Male

Female

Nickname (optional)
Address
(optional)
City
State Zip
Home Phone (999) 999-9999
Cell Phone (999) 999-9999 (optional)
Email
Intended Major or Program of Interest
High School Graduation Date

Preferences Roommate Preference Checklist (rank your top 3 in order of importance)

Rank	Attribute
#1
#2
#3

Add additional attributes below if needed (optional)
Smoking Preference

Smoker

Non-Smoker

Indifferent

T-shirt Size

Essay

Write a short essay (300-400 words) that illustrates your interest in science, technology, engineering and/or mathematics. Include a description of one or more possible future careers that may be of interest to you.

Reference

Please indicate below the name and contact information of a high school science or mathematics teacher who is willing to serve as a reference for this application.

I understand that the college or university that I plan to attend may have additional requirements for the Summer Bridge Program.

If you have any questions about the program, contact names and emails are provided below.

Blue Ridge Community College: Ken Phillips
phillipsk@brcc.edu
Bridgewater College: Robyn Puffenbarger
rpuffenb@bridgewater.edu
Eastern Mennonite University: Roman Miller
millerrj@emu.edu
James Madison University: Jennifer Sowers
sowersjb@jmu.edu

Reference Name (first, last)
Position
Address
(optional)
City
State Zip
Country
Email
Phone (999) 999-9999

Comments (optional)

"I gained knowledge about potential future careers. I brushed up on my algebra skills. I learned my way around campus. I gained a few wonderful friends in the process.
I got the chance to get my feet wet in terms of preparing myself for the college experience. Being exposed to potential professional fields was awesome. It was really important to me to see what I could be doing 10 years down the road if I stick with the "difficult stuff." To me, it was like seeing around the mountain that is my education and witnessing a possible future."
Gail Moruza

Bridging the Valley

A STEP Ahead for STEM Majors

2012 Summer Bridge Program Application