Summer Bridge Academy Application

Before completing, please note: 

  • The Summer Bridge Academy is by invitation only. Please do not fill out this form unless you have received an invitation to the program. 
  • Only fill out this form if you have an active application at Valdosta State University. Applications for students that do not enroll are only kept for 1 year. 
  • This form does not apply to students who are enrolled or have taken classes at VSU. 
2016 Summer Semester
Please enter your full mailing address including city, state, and zip code. 
Male
Female
Yes
No
If US Citizen please enter "US Citizen". 
Include Name & Phone Number
Month & Year will be sufficient
optional for admission, required for enrollment
White
Black
Hispanic
American Indian
Asian
Pacific Islander or Hawaiian
(optional) Choose 1 or more
Example: Valdosta State University (1906-1911)
The University System College Preparatory Curriculum is a factor in the admissions decision. 
Month, Year will be sufficient. 
Yes
No
Yes
No
I certify that the above statements are correct, and if accepted, I agree to abide by the regulations of Valdosta State University. I understand that any omission or misrepresentation of facts will automatically invalidate consideration of this application and/or dismissal from the University. 
Today's date; Example "January 1, 1906". 
Please use this option should you need to upload any files (transcripts, driver's license, medical forms, etc.)
Please use this option should you need to upload any files (transcripts, driver's license, medical forms, etc.)
Please use this option should you need to upload any files (transcripts, driver's license, medical forms, etc.)