University Bound Application

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

Area CodePhone Number
Can we text you at this number?*

YesNo
Are you a freshman (in your first year of college)?*

YesNo
Have you attended a college other than Cuesta before?*

YesNo
Select ALL groups you identify with:*

First-Generation College Student (neither parent graduated from college)Undocumented/DACAFoster YouthLow-incomeChicano/Chicana or Latino/LatinaBlack/African AmericanNative American/American IndianAsian American/Pacific IslanderStudent with a disabilityNone of the above
Check any California State University (CSU) campuses you are interested in:

Cal Poly SLOSan Diego StateLong Beach StateSan Jose StateFresno StateOther
Check any University of California (UC) campuses you are interested in:

Santa BarbaraSanta CruzDavisBerkeleyOther
List any other colleges or universities you are interested in:
Do you know your transfer major?*

YesUndecided
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 WorkshopsAcademic Counseling AppointmentsVirtual or In-Person University Bound Connect Events (if possible)Career Counseling to help me learn major/career options (if needed)
Should be Empty: