EOP Summer Bridge Registration Form

2010 Summer Bridge Application

Program Duration: July - August, 2010

Get a head start on College!
Six week College transition program that includes FREE tuition and books.

Participant Information

Sac State Student ID:

Name:

Address:

Email:

Phone Number:

Cell Phone Number:

Sac State I.D. number retrieval tutorial

First Name

Last Name

Number, Street Name, Apartment#
,

City

State

Zip Code

You will be notified by email of your admission status to the Summer Bridge Program

( ) -

( ) -

Test Information

Have you taken the Entry Level Math (ELM) test?

Yes

Exempt

Please enter your ELM test date:

* If you have taken the exam please indicate when you took the exam.

** If you have not taken the exam please indicate when you plan to take the exam.


month	day	year

Have you taken the English Placement Test (EPT)?

Yes

Exempt

Please enter your EPT test date:

* If you have taken the exam please indicate when you took the exam.

** If you have NOT taken the exam please indicate when you plan to take the exam. Applicants who have completed the ELM and EPT by November 2009 or January 2010 will be give priority consideration for the Summer Bridge Program.


month	day	year

ELM and EPT Registration Information

Sacramento area students can register at: www.csus.edu/testing or call the Sac State Testing Center at (916) 278-6296.

Out of the area students can register at: www.ets.org/csu/

Sacramento State ELM and EPT EOP Summer Bridge Priority Test Dates

Test Date	Test Date Registration Deadline
November 14, 2009 (EOP PRIORITY TEST)	October 30, 2009
January 16, 2010 (EOP PRIORITY TEST)	January 1, 2010

Scores determine your first year class placement in math and english. Prepare for this test!

Other Sac State Programs

Please indicate other Sac State programs you have applied to:
	CAMP (College Assistant Migrant Program)
	MEP - MESA Engineering Program (Fast Track)
	AMP - (Alliance for Minority Participation - National Science Foundation)
	Guardian Scholars Program (Support for former foster youth)
	Student Athlete
	Honors Program

Commuter Program

I understand that the EOP Summer Bridge Program does NOT provide housing and that I am responsible for arranging and paying for my own living accommodations and transportation during the program.