*All Fields Required
First Name
Last Name
Birth Date
Personal e-mail address (we recommend not using your high school e-mail account because that might inactivate after you graduate)
Telephone
Mailing Address
City
State
—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming
Zip Code
High School
—Please choose an option—Thornton TownshipThornwoodThornridgeTF NorthTF SouthHillcrestOak ForestBremenTinley ParkOther
Are you a graduating Senior
—Please choose an option—YesNo
Do you plan to attend SSC in the Fall?
What do you want to study? (If unsure please type undecided)
How did you hear about the SSC Summer Bridge First-Year Experience Program?
—Please choose an option—PresentationFlyerCounselorTeacherFriendOther
Why are you interested in participating in the SSC Summer Bridge First-Year Experience Program?
What are your Math SAT/ACT Scores
What are your English SAT/ACT Scores
What is your GPA? (on a 4.0 scale)
Do you have available transportation to attend the program each day?
[honeypot free-class-entry-26]
Do you expect any of the following obstacles to prevent you from taking part in the Summer Bridge Program? (Hold down SHIFT key and click the items that apply.)
—Please choose an option—NoneWork ConflictInternet AccessDigital DevicesOther
If you chose OTHER above, please explain.
Do you have an IEP or an 504?
Do you agree to attend program/class sessions on all scheduled days?
