Interest Questionnaire for Summer Bridge, PAC, Navarro Executive Fellows and STARS

Dear student

You can find details about each opportunity at www.ysu.edu/OCAT

Please select the opportunities you are both interested in and qualified for.

Answer the questions to the best of your ability.

Space is limited in all areas. Completing the interest questionnaire does not guarantee placement in the program.

Best wishes and we look forward to meeting you soon!

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Name: *

Y Number:

Interests

Interests:

Summer Bridge (Residential Summer)

Navarro Executive Fellows Program (Freshmen Work Study with 2.5 GPA)

Penguin Ally Collective (Mentoring Freshmen)

STARS (Sophomores and above with 3.0 GPA)

Birth Date:

Race/Ethnicity: *

Email: *

Gender: *

Address: *

City: *

State: *

Zip Code: *

Cell Phone Number: *

Date of YSU Orientation:

High School Attended: *

Have you completed the FAFSA? *

Leave this field blank