STEM Summer Bridge Application

Personal Information

First Name:

Last Name:

Cougar ID#:

Address:

City:

State:

Zip:

Phone:

Email:

High School

High School:

City:

State:

Date of Graduation:

High School GPA:

ACT/SAT Composite Score, if applicable:

ACT/SAT Math Score (or Math Placement Test Result):

ACT/SAT English Score, if applicable:

Program of study you plan to enroll in at Columbus State:

College or University where you plan to transfer after Columbus State:

Intended Major at college or university: