Summer Bridge 2021: Confirmation

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Please fill out this form to confirm your participation for the Summer Bridge 2021 Program.

Chabot College will offer Summer Bridge through a virtual (on-line) platform to prepare and empower you with the knowledge, confidence, and resources to successfully complete a degree and/or transfer within three years.

Summer Bridge is offering Math Jam/Math Jam STEM, PSCN Course and Six (1.5 hour) workshops series. Sign up for one or all three! By selecting your option(s) on the form you will be automatically enrolled.

* Discover your pathway * Personalized support * Get ready for math *

Criteria to Apply:
- Must be a first time Chabot College Student
- Submit FAFSA 2021-2022
- Apply for Summer 2021 Term
- Check your email for the May 19th or June 9th orientation zoom link and class instruction

For more information email: Javier Hernandez | jphernandez@chabotcollege.edu

Untitled Title

First Name: *

Last Name: *

Cell Phone Number: *

Email: *

Date of Birth

YYYY

Are you First Generation (A student whose parent(s)/legal guardian(s) have not completed a bachelor's degree) *

Yes

Not sure

What High School/Adult School/Continuation School do/did you attend? *

What is your current or last math level/class? *

Algebra

Geometry

Algebra II / Trigonometry

Pre-Calculus

Calculus

Other:

Required

Are you interested in pursuing a STEM major (Engineering, Architecture, Computer science, Chemistry) *

Yes

Not Sure

Required

What major or career are you interested in pursuing? (This will help us determine transfer level math) *

Are you enrolling in Math Jam? If yes, choose one Math Jam option below: *

Math Jam: .5 Units (Prepare for transfer Math. 3 week self-paced)

Add me to wait list, Class is FULL. Math Jam STEM (Math 36 Trigonometry- 3 Uni )

No, I am not enrolling in Summer Bridge Math Jam option

Required

PSCN Course is Full

I am enrolling in one of the Workshop Series *

Workshop Series: Six 1.5 hour workshops

No, I am not enrolling in the Workshop Series

Required

Did you have an IEP or 504 plan in high school?

Yes

Clear selection

Did you complete you FAFSA (Financial Aid Application) for 2021-2022? *

Yes

I will be attending the orientation on the following date *

May 19th at 6:00PM

June 9th at 6:00PM

Other:

T-shirt Size *

XXL

Submit

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