Start Right Bridge Program
The information provided on this form will be used by Wallace State to determine eligibility to participate in the Bridge Program. Qualifying participants will engage in a three-week program to sharpen math and English skills, acquire one hour of college credit, meet students with similar career interests, and make early connections to become college-ready. Contact Christine Wiggins with questions or for more information: 256.352.8462.
STUDENT INFORMATION
Student's Full / Legal Name
*
First Name
Last Name
Student Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Student Phone Number
*
-
Area Code
Phone Number
Personal E-mail
*
Academic Information
Name of High School
*
Type "GED" if received GED
Graduation Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
ACT score - English
*
Enter 0 if no ACT score
ACT score - Math
*
Enter 0 if no ACT score
Academic GPA
*
Type GED if you didn't graduate high school
Academic GPA
*
Type GED if you received your GED
Letter Grade in 12th grade English
*
Type GED if you didn't graduate high school
Letter Grade in 12th grade English
*
Type GED if you received your GED
Letter Grade in Algebra II
*
Enter n/a if you didn't take Algebra II or GED if you didn't graduate high school
Letter grade in Algebra II
*
Type GED if you received your GED
Other information
How many people currently live in your household
*
What is the total yearly income for your household?
*
Less than $33,975
$33,976 - $45,775
$45,776 - $57,575
$57,576 - $69,375
$69,376 - $81,175
$81,176 - $92,975
$92,976 - $104,775
More than $104,775
Have you completed the FAFSA (Free Application for Federal Student Aid - Pell Grants, Loans)?
*
Yes
No
Will you have reliable transportation to WSCC for three weeks?
Yes
No
Will you need help with gas to get to WSCC for those three weeks?
Yes
No
Do you have wi-fi at your home?
Yes
No
Our program is offered for three weeks and tailored to your needs and interests.
Using the drop down menus below, choose the session you would like to attend by selecting the major in which you are MOST interested in. All majors are available in both session - you're just choosing the dates that work best for you.
Session 1: June 13-29, 2023 - Hanceville Campus
Business
Criminal Justice
Forensic Psychology
Global Studies
Graphic Art &
Design
Liberal Arts or
General Studies-
Transfer
Music Education
Paralegal
Pre-Education
Religious Studies
Dance
Instrumental
Studio Art
Theatre
Vocal
Child Development
Dental Assisting
Dental Hygiene
Diagnostic Imaging
Diagnostic Medical
Sonography
Emergency Medical
Services
Health Information
Technology
Medical Assistant
Medical Coding
Medical Laboratory
Technician
Nursing
Occupational Therapy
Assistant
Physical Therapist
Assistant
Polysomnographic
Technologist
Respiratory Therapy
Advanced Automotive
Technology
Agricultural
Production
Aviation/Flight
Technology
Collision Repair
Construction
Management
Culinary Arts
Diesel Technology
HVAC&Refrigeration
Machine Tool
Technology
Mechatronics,
Electronics,
Robotics
Salon & Spa
(Cosmetology)
Small Farmer
Training
Tool and Die
Technology
Welding
Computer Science
Engineering
Technology
Geo-spatial
Technology
Poultry Science
Pre-Engineering
Health Science - June 13-30, 2022 - Hanceville Campus
Child Development
Dental Assisting
Dental Hygiene
Diagnostic Imaging
Diagnostic Medical
Sonography
Emergency Medical
Services
Health Information
Technology
Medical Assistant
Medical Coding
Medical Laboratory
Technician
Nursing
Occupational Therapy
Assistant
Physical Therapist
Assistant
Polysomnographic
Technologist
Respiratory Therapy
Session 2: July 24- Aug 10, 2023 - Hanceville Campus
Business
Criminal Justice
Forensic Psychology
Global Studies
Graphic Art &
Design
Liberal Arts or
General Studies-
Transfer
Music Education
Paralegal
Pre-Education
Religious Studies
Dance
Instrumental
Studio Art
Theatre
Vocal
Business
Criminal Justice
Forensic Psychology
Global Studies
Graphic Art &
Design
Liberal Arts or
General Studies-
Transfer
Music Education
Paralegal
Pre-Education
Religious Studies
Dance
Instrumental
Studio Art
Theatre
Vocal
Child Development
Dental Assisting
Dental Hygiene
Diagnostic Imaging
Diagnostic Medical
Sonography
Emergency Medical
Services
Health Information
Technology
Medical Assistant
Medical Coding
Medical Laboratory
Technician
Nursing
Occupational Therapy
Assistant
Physical Therapist
Assistant
Polysomnographic
Technologist
Respiratory Therapy
Advanced Automotive
Technology
Agricultural
Production
Aviation/Flight
Technology
Collision Repair
Construction
Management
Culinary Arts
Diesel Technology
HVAC&Refrigeration
Machine Tool
Technology
Mechatronics,
Electronics,
Robotics
Salon & Spa
(Cosmetology)
Small Farmer
Training
Tool and Die
Technology
Welding
Computer Science
Engineering
Technology
Geo-spatial
Technology
Poultry Science
Pre-Engineering
July 11-28, 2022 - Oneonta Campus
Business
Criminal Justice
Forensic Psychology
Global Studies
Graphic Art &
Design
Liberal Arts or
General Studies-
Transfer
Music Education
Paralegal
Pre-Education
Religious Studies
Dance
Instrumental
Studio Art
Theatre
Vocal
Child Development
Dental Assisting
Dental Hygiene
Diagnostic Imaging
Diagnostic Medical
Sonography
Emergency Medical
Services
Health Information
Technology
Medical Assistant
Medical Coding
Medical Laboratory
Technician
Nursing
Occupational Therapy
Assistant
Physical Therapist
Assistant
Polysomnographic
Technologist
Respiratory Therapy
Advanced Automotive
Technology
Agricultural
Production
Aviation/Flight
Technology
Collision Repair
Construction
Management
Culinary Arts
Diesel Technology
HVAC&Refrigeration
Machine Tool
Technology
Mechatronics,
Electronics,
Robotics
Salon & Spa
(Cosmetology)
Small Farmer
Training
Tool and Die
Technology
Welding
Computer Science
Engineering
Technology
Geo-spatial
Technology
Poultry Science
Pre-Engineering
November 1 - 17, 2022 - Hanceville Campus
Business
Criminal Justice
Forensic Psychology
Global Studies
Graphic Art &
Design
Liberal Arts or
General Studies-
Transfer
Music Education
Paralegal
Pre-Education
Religious Studies
Dance
Instrumental
Studio Art
Theatre
Vocal
Business
Criminal Justice
Forensic Psychology
Global Studies
Graphic Art &
Design
Liberal Arts or
General Studies-
Transfer
Music Education
Paralegal
Pre-Education
Religious Studies
Dance
Instrumental
Studio Art
Theatre
Vocal
Child Development
Dental Assisting
Dental Hygiene
Diagnostic Imaging
Diagnostic Medical
Sonography
Emergency Medical
Services
Health Information
Technology
Medical Assistant
Medical Coding
Medical Laboratory
Technician
Nursing
Occupational Therapy
Assistant
Physical Therapist
Assistant
Polysomnographic
Technologist
Respiratory Therapy
Advanced Automotive
Technology
Agricultural
Production
Aviation/Flight
Technology
Collision Repair
Construction
Management
Culinary Arts
Diesel Technology
HVAC&Refrigeration
Machine Tool
Technology
Mechatronics,
Electronics,
Robotics
Salon & Spa
(Cosmetology)
Small Farmer
Training
Tool and Die
Technology
Welding
Computer Science
Engineering
Technology
Geo-spatial
Technology
Poultry Science
Pre-Engineering
Thank you for your interest in the Wallace State Start Right Bridge Program!
The application will close May 19, 2023. A Wallace State representative will be in touch through the email address you provided.
Submit
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