*All Fields Required
First Name
Last Name
Birth Date
Personal e-mail address (we recommend not using your high school e-mail account because that might inactivate after you graduate)
Telephone
Mailing Address
City
—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming
Zip Code
—Please choose an option—Thornton TownshipThornwoodThornridgeTF NorthTF SouthHillcrestOak ForestBremenTinley ParkOther
—Please choose an option—YesNo
What do you want to study? (If unsure please type undecided)
—Please choose an option—PresentationFlyerCounselorTeacherFriendOther
Why are you interested in participating in the SSC Summer Bridge First-Year Experience Program?
What are your Math SAT/ACT Scores
What are your English SAT/ACT Scores
What is your GPA? (on a 4.0 scale)
Please leave this field empty.
(Hold down SHIFT key and click the items that apply.)
—Please choose an option—NoneWork ConflictInternet AccessDigital DevicesOther
If you chose OTHER above, please explain.
