texas woman`s university bridges program application form

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TEXAS WOMAN’S UNIVERSITY BRIDGES
PROGRAM APPLICATION FORM
APPLICATION DEADLINE MARCH 15
1. Complete the following (Please print legibly)
First Name
___
Last Name
Are you a U.S. citizen? Yes No
Social Security Number
Ethnicity: (Optional - Please circle)
African
American
Alaskan/
Native American
Hispanic
American
Rural
Appalachian
_)
Cell: (
U.S. Pacific
Islander
Phone number with area code:
Day: (
)
Evening: (
___
)
Email:
___
Address: Street/PO Box
City
State
___
Zip
Emergency Contact:
Name:
Relation:
Current Major:
Phone:(
Career Goal:
)
_____
___
Which community college do you attend?
__
When did you enter community college?
___
Is this your first semester? Yes  No 
Completed semester hours:
Expected graduation date:
Current enrollment hours:
Current GPA:
List all other colleges or universities attended including dates:
____
_____
_____
1
List the courses that you are taking this semester:
_____
__
___
__
__
2. Attach a brief essay (maximum one page double spaced) about your interest in research and /
or science and tell why you are interested in the BRIDGES Program.
3. Have two letters of recommendation from college professors sent to the BRIDGES program
coordinator. At least one recommendation must be from a science teacher. Provide the names
and phone numbers of your references below.
Reference one:
Name
Phone number (
)
______
Phone number (
)
________
Reference two:
Name
4.
Complete a Texas Commons Transfer application and return it to the BRIDGES Program
Coordinator at your Community College:
CCCCD = Dr. David McCulloch (972)-881-5991 email: dmcculloch@cccd.edu
Brookhaven College = Doris Rousey (972) 860-4750 email: DRousey@dcccd.edu
TCC = Charlene Cole (817)-515-6340 email: charlene.cole@tccd.edu
5. Request official transcripts from all previously attended institutions be sent to TWU at
TWU Student Records Processing, PO Box 425649, Denton, TX 76204
Check List: Please check each item submitted or requested.
(Note: Incomplete Applications will not be reviewed by BRIDGES Committee.)
 BRIDGES Application and Essay
 Texas Commons Transfer Application
 2 Letters of Recommendation
 Official Transcripts
2
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