Blue Mountain Community College Bridges Declaration of Intent

Inquiry Status (Hidden)

Campus (hidden)

Current School (hidden)

School CEEB (hidden)

Have you earned less than 45 quarter credits at a partnering Bridges Program institution (Blue Mountain Community College)?*

Yes

No

Due to your response, you may not eligible for the Bridges program. Please continue to fill out this form and the Bridges Advisor will be in touch with you to discuss your transfer options.

What kind of student are you?*

Personal Information

First Name*

Last Name*

Email Address*

Cell Phone Number*

Mailing Address:*

Country

Street

City

Region

Postal Code

Okay to text?*

Yes

No

Birthdate*

Current Resident Status

Oregon Resident

Non-Oregon Resident

Veteran Status

Veteran

Non-Veteran

Blue Mountain Community College Information

BMCC Student Number*

Year you began studying at BMCC*

Term*

Fall

Winter

Spring

Summer

Expected Graduation Year*

Transfer Information

Term and year you intend to transfer to WSU Tri-Cities*

WSU Tri-Cities Program of Interest

Additional Education Information

Name of High School

AP or IB credit in high school

Yes

No

College credit from an institution other than BMCC*

Yes

No

Other College Name

Under federal legislation, The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. § 1232g; 34 CFR Part 99), I understand that my educational records cannot be released without my written permission. I, therefore, request that my enrollment records, including grades, transcripts, financial aid, and schedule information, be released to WSU Tri-Cities.*

Yes

Please type your full name in the box below. This will be considered your electronic signature.*

Please upload your unofficial college transcript.