Cal-Bridge Exemption Request Form

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Fill out this form if you would like to request an exemption from a required Cal-Bridge task. This form will then be sent to Cal-Bridge, as well as your mentors. Please allow up to 5 business days for review. Please direct your questions to the Cal-Bridge email: calbridge@cpp.edu.

Scholar Name *

Scholar Email *

Scholar Campus *

Program *

Physics & Astronomy

Computer Science

Mathematical Sciences

CSU Mentor Name *

CSU Mentor Email *

UC Mentor Name *

UC Mentor Email *

Have you informed your mentors prior to filling out this form? *

Yes

What task are you requesting exemption from? *

PhD Applications (ie not applying to 4 UCs, not applying to PhD programs)

Doing the NSF GRFP

Missing a workshop

Request more work hours

Extending graduation date

Taking Leave from the Program

Returning to the program

Exit the Program

Cal-Bridge Summer Application Exemption

Cal-Bridge Financial Support

Public use of likeness, name, or personal details by Cal-Bridge

Other:

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