University Bound Application

University Bound Application
First Name: *
Last Name *
Preferred Name
Preferred Pronouns (optional)
Student ID Number *
Cuesta Student E-mail: *
Phone *

Area Code Phone Number
Can we text you at this number? *

Yes No
Are you a freshman (in your first year of college)? *

Yes No
Have you attended a college other than Cuesta before? *

Yes No
Select ALL groups you identify with: *

First-Generation College Student (neither parent graduated from college) Undocumented/DACA Foster Youth Low-income Chicano/Chicana or Latino/Latina Black/African American Native American/American Indian Asian American/Pacific Islander Student with a disability None of the above
Check any California State University (CSU) campuses you are interested in:

Cal Poly SLO San Diego State Long Beach State San Jose State Fresno State
Check any University of California (UC) campuses you are interested in:

Santa Barbara Santa Cruz Davis Berkeley
List any other colleges or universities you are interested in:
Do you know your transfer major? *

Yes Undecided
If Yes, what is your major?
What about college and transferring are you most excited about?
What are your biggest concerns or questions about college/transferring?
Tell us anything else you would like us to know about yourself!
Please read the following requirements and recommendations for University Bound program participation:

1. I will check my Cuesta email weekly (REQUIRED)

2. I will meet with a counselor during my first semester to create a Student Education Plan to map out the classes needed for my transfer goal (REQUIRED)

3. I will add the Transfer Center channel to my CANVAS dashboard. We will explain how to do this later. :) (REQUIRED)

4. I will meet with a career counselor to discuss major/career options, if needed. (RECOMMENDED)

5. I will come to CONNECT events, if possible. These might include virtual meetings and workshops, and in person lunches or coffee gatherings. We want to get to know you, and provide a space for you to get to know other students too. (RECOMMENDED)
If admitted to this program, I will commit to using the following resources at Cuesta to help with my transfer journey *

Transfer Information Workshops Academic Counseling Appointments Virtual or In-Person University Bound Connect Events (if possible) Career Counseling to help me learn major/career options (if needed)
Should be Empty: