Pioneer Bridge

Thank you for your interest in the Pioneer Bridge high school to college orientation program for first generation and underrepresented students. Please complete the following application to reserve your spot in the program. This form must be completed in its entirety to be considered for the program. Applications will be considered in the order that they are received, so we recommend that you return the forms as soon as you're able. We will prioritize applications received by Friday, August 2, 2019. Once we receive your completed application, we will send you an email informing you of your status. Please contact us at precollege@carrollu.edu with any questions regarding the program or application process.

In order to attend Pioneer Bridge to Success, you must:

Be admitted to Carroll University
Be a first time incoming college freshman
Be a first generation college student or part of a group traditionally underrepresented in higher education
Receive an invitation to apply (via mail or email)
Be available during the entire duration of Saturday, August 17 – Friday, August 30

By participating in the Pioneer Bridge to Success program, you will:

Receive the Bridge to Success Scholarship which covers program fees, including housing (or gas stipend for commuters), meals, and activities
Move into your residence hall on Saturday, August 17 (for resident students only)
Start building relationships with professors, administrators, and peer mentors and create a unique support system
Get a head start on college success with early access and exposure to campus life and resources
Form a tight-knit community with peers and develop lifelong friendships
Be part of a select group of students during your 4-year university experience which meets monthly for social, academic and professional enrichment experiences
Be paired with a upperclassmen mentor who will guide you through the first two years of your undergraduate experience

First Name:
Last Name:
Explanation of Interest:	Please attach your typed answers to this application in PDF format only. A brief one-paragraph response is sufficient for each question. Describe why you have chosen to attend Carroll University. What goals have you set for yourself for your freshman year of college? What excites you most about your transition from high school to college? What concerns you about your transition from high school to college?
Street Address:
Apartment / Unit #:
City:
State:
ZIP code:
Name of High School:
Mobile Phone:	( ) - Second three digits Last four digits
Email:
Carroll ID:
Date of Birth:
Gender:
Major:	Intended Major / Field of Study at Carroll
Resident or Commuter:	Resident Commuter
Residence Hall:	If you are a resident, in which residence hall will you live?
T-Shirt Size:	Small Medium Large X-Large XX-Large
Were you eligible for free or reduced lunch in high school?:	Yes No
Do you speak a language other than English at home?:	Yes No
Second Language:	If yes to above, which?
Ethnicity:	African-American / Black American Indian Asian / Asian American Caucasian / White East Indian / Pakistani Filipino / Filipino American Hispanic / Latino Middle East / North African Pacific Islander Other (Please check all that apply) Family and Parent Information This section must be complete for application to be considered.
Parent / Guardian #1:
Relationship to Student:
Phone:	( ) - Second three digits Last four digits
	Work Mobile Home (Check one)
Email:
Highest Level of Education:	Elementary High School Some College 4-Year College Degree
Parent / Guardian #2:	Write "N/A" if a second parent / guardian if not applicable to you.
Relationship to Student:
Phone:	( ) - Second three digits Last four digits
	Work Mobile Home (Check one)
Email:
Highest Level of Education:	Elementary High School Some College 4-Year College Degree
Family Income Level:	Less than $20,000 $20,001 - $30,000 $30,001 - $40,000 $40,001 - $50,000 $50,001 - $60,000 $60,001 - $70,000 $70,001 - $80,000 $80,001 - $90,000 $90,000 or greater

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Pioneer Bridge

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Family and Parent Information