Columbia Basin College Bridges Declaration of Intent

Campus (Hidden)

Student Type (hidden)

Inquiry Status (Hidden)

Current School (hidden)

School CEEB (hidden)

Have you earned less than 45 quarter credits at a partnering Bridges Program institution (CBC)?

Yes

No

Due to your response, you are not eligible for the Bridges program at this time. However, we encourage you to fill out our Request for Information so that we can connect with you about transferring to WSU Tri-Cities for a future term. Also, you can reach us at tricities.admissions@wsu.edu

Personal Information

First Name

Last Name

Birthdate

Email Address

Cell Phone

Veteran Status

Veteran

Non-Veteran

Mailing Address:*

Country

Street

City

Region

Postal Code

Okay to text

Yes

No

Current Resident Status

Washington Resident

Non-Washington Resident

Columbia Basin College Information

CBC Student Number

Year you began studying at CBC

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 CBC

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.