Educational Opportunity Program
2025 Commuter Summer Bridge Application
Program Dates: Monday, July 7-Wednesday, July 30, 2025
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Email *
1. CSUSB Email *
2. CSUSB Coyote ID# *
3. Last Name *
4. First Name *
5. Mailing Address (e.g. 5500 University Pkwy)   *
5. City (e.g. San Bernardino) *
6. Zip (e.g. 92407)
8. Birth Date *
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9. Home Phone Number *
10. Cell Phone Number
11. Gender *
12. What is your preferred T-shirt size? (If you are unsure of your size, it is recommended you select one size larger to make sure that shirt fits comfortably) *
Please list any food/other allergies that we should be aware of. (If none, please respond N/A)  *
Please list any food restrictions (vegan, vegetarian, etc.) that we should be aware of. (If none, please respond N/A)  *
13. Are you a current or former foster youth student? *
14. High School *
15. County of High School *
High School Graduation Date *
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