Summer 2023 Student Success Institute (SSI) Bridge Program Application

Summer 2023 Student Success Institute (SSI) Bridge Program Application
Thank you for your interest in the SSI Summer 2023 Bridge Program!

The following questions allow us to get to know you and identify areas of growth as you transition into a Lobo this Fall 2023 semester at Sul Ross State University!
Eligibility:
- Incoming Undergraduate First-Year + Transfer Students
Program Benefits:
- Receive a student stipend (Variable Amount TBD)
- Strengthen College Algebra, Reading and Writing Skills
- Learn about student life at SRSU
- Paired with a Mentor; a current SRSU student; meet faculty and staff… and more!
Important Dates:
- Application DUE | June 4th, 2023 @ 11:59pm
- Mandatory Orientation | June 18th @ 2pm
- Program Begins | Monday, June 19th @ 8am
- Program Ends | Friday, June 30th @ 2pm
SSI Summer Bridge Time Commitment:
- Length of Program | June 18 – June 30, 2023
For questions, email Title III Director Hadley Kibbe at (hadley.kibbe@sulross.edu) or
SSS Director Erika Zwahr at (ewon3902@sulross.edu).
Student Contact Information
Student Name:*

First NamePreferred Name (Optional)Last Name
Student Date of Birth:*

MonthDayYear
Date
Student Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Student Email:*
example@sulross.edu
Parent/Guardian Name:*

First NameLast Name
Parent/Guardian Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email:*
example@example.com
Do you have any food allergies?*

YesNo
If Yes, please list them here:
What is your T-shirt size? (Shirt Cut:Unisex)*

SMLXL2XL3XL
Student Ethnicity: (Please select all that apply)*

First Nation, American Indian or Alaska NativeAsian/Asian AmericanBlack or African AmericanLatinx/ae/Hispanic/Chicanx/Mexican-AmericanNative Hawaiian or Other Pacific IslanderWhite/CaucasianOther
Student Gender Identity:*

FemaleMaleNon-BinaryPrefer Not to SayOther
Citizenship: (Please note that your answer does not affect your application. Responses are for reporting purposes and will remain confidential.)*

U.S. CitizenPermanent ResidentDACANon-Citizen/UndocumentedI do not knowOther
Are you a first-generation student?*

YesNo
Do you have an IEP (Individualized Education Plan)?*

YesNo
Student Academic Information
What high school/community college are you currently enrolled in?*
What is your current class standing?*

Graduating/Recently Graduated High School SeniorTransfer StudentOther
Have you applied to or have been accepted to SRSU?*

YesNo
Please state your program of interest:*
Are you interested in STEM?*

YesNo
Have you completed the Free Application for Federal Student Aid (FAFSA) 2022-2023 or 2023-2024?*

YesNo
Can you commit to attending the entirety of the SRSU SSI Summer 2023 Bridge Program from June 18, 2023 - June 30, 2023?*

YesNo
Essay Question: We want to get to know you!

Please answer the following question. You will be evaluated on 1) Grammar/Spelling; 2) Clarity and Understanding of the Prompt; 3) Detailed Response.
How would the SRSU SSI Summer 2023 Bridge Program impact your college experience? *
150 word minimum
Should be Empty:

Summer 2023 Student Success Institute (SSI) Bridge Program Application

Student Contact Information

Student Academic Information

Essay Question: We want to get to know you!