.XL Application

If you are interested in participating in the .XL SUMMER BRIDGE PROGRAM at Pasadena City College, please carefully complete this application. If you have any questions, please call (626) 585-7532.

* All fields with an asterisk must be completed.

Student Information

* First Name:
* Last Name:
* Phone #:
* E-mail:
* Street Address:
* City:
* State:
* Zip:

High School Information

* High School:
* High School GPA:

Goals

* Why do you want to attend college?
* I am interested in a major/career in:

Additional Information

* What is the highest academic degree achieved by each of your parents?
- Father:
- Mother:
If you have brothers and/or sisters, have any of them:
- attended a community college
- attended a university
- graduated from a university
* What language(s) do you speak at home?
* Are you planning to work while you attend college?

Yes No
If you have one or more disabilities or have completed an IEP for which you require academic accommodations, please specify.
What is you ethnic background?

The TLC at PCC

Programs

Resources

Related Links

PCC Home \| Search \| Site Map \| Accessibility \| Disclaimer \| Contact PCC Info \| Staff Services \| RSS feeds
©Pasadena City College, 1570 E. Colorado Blvd., Pasadena, CA 91106, 626-585-7123