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Summer Bridge - TRIO-SSS
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Email
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Your email
Student Name
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Your answer
Birthday:
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Your answer
Address:
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Your answer
City
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Your answer
Zip
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Your answer
Phone Number:
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Your answer
Email Address
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Your answer
STUDENT DEMOGRAPHIC INFORMATION (FOR FEDERAL REPORTING PURPOSES ONLY)
Are You Hispanic?
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Yes
On
Gender:
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Female
Male
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Racial Identity: (Check all that apply)
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American Indian/Alaskan Native
Asian
Black/African American
White
Native Hawaiian/Pacific Islander
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STUDENT STATUS
Have you completed your 2021-22 Free Application for Federal Student Aid (FAFSA)?
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Yes
No
Have you completed your 2022-23 Free Application for Federal Student Aid (FAFSA)?
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Yes
No
Do you have a documented disability?
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Yes
No
If yes, do you have a current IEP?
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Yes
No
What is your parent's highest level of education?
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Option 1
Are you a U.S. Citizen?
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Yes
No
If No, are you a Permanent Resident (U.S. permanent resident who has an I-151, I-551, or I-551C)?
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Yes
No
ACADEMIC INFORMATION
High School:
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Your answer
Cumulative Grade Point Average:
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Your answer
Please indicate your educational path:
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Associate's Degree Only
Associate's Degree and Transfer to a 4 year College or University
Transfer to a 4 year College or University without an Associate's Degree
Have you applied to Mott Community College?
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Yes
NO
Have you taken your placement test at MCC?
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Yes
No
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