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Home > Campuses and Centers > Woodbridge Campus > New Students > Bridge

First Year Bridge Program

Student Application Form


Personal Information
Student Id:
Name:
Address:
City:
State:
Zip:
Phone:
Email:
Date of Birth (mm/dd/yyyy):
City/State/Country of Birth:

Gender: Male Female

Ethnicity (check all that apply): African American
American Indian or Alaskan Native
Asian or Pacific Islander
Caucasian
Hispanic
Other


Name of High School:
City/County:
State:
Date of Graduation: (mm/dd/yyyy)
What was your grade point average at graduation:			on what scale:
List all honors, awards or other special recognition you have received:

List your extracurricular activities, interest, hobbies and leadership experience:

Were you employed while attending high school? Yes No

Will you continue to work while attending NVCC? Yes No If yes, provide details

Employer		Position	Estimated hours/week


Family Information
Parent(s)/Guardian(s) name
Parent(s)/Guardian(s) address
City
State
Zip
Phone
Highest level of education attained by parents:	Mother	Father

Career Interest
Indicate area(s) of career interest:


Please indicate the area of developmental instruction you will need:
Math English Math&English

Personal Statement Describe in no more than 150 words, why you would like to participate in this program. Be sure to include your academic and career goals, interests and your hobbies as well as your motivation for going to the college.

*Please send your high school transcript to Northern Virginia Community College, Student Services Center, c/o Summer Bridge Program, 15200 Neabsco Mills Road, Woodbridge, VA 22191. Please be sure to provide your EMPL ID#. Please email to RiHill@nvcc.edu if you have any questions.

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