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 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)