Geneva College

 

 

Summer Bridge Registration


Use the form below to register for Geneva's bridge program starting this spring.
You can also print out a paper version of this form for submission.

Personal Information
First Name
Middle Name
Last Name
Other names used in previous college
Preferred Name
Permanent Address
City
Zip Code
County
State
Home Phone
Work Phone
Email
Fax
Social Security Number
Gender Male Female
Birth Date
Citizenship
If other, please specify.
If other, are you a permanent resident of the US? Yes  No 
Visa type
Denomination (if any)
Job Title/Position
Employer/Organization
   
Are you eligible to receive any tuition benefit from your employer?
Yes  No
Are you eligible to receive any military tuition assistance or veterans education benefits?
Yes  No
   
Optional
Do you identify yourself as a person of Hispanic/Latino origin? Yes  No
Please indicate your race. (check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
 
Check appropriate enrollment status:
I am currently enrolled in the ADCP
I completed the formal admissions process and will enter a future cohort
I completed the ADCP and am finishing credits toward graduation
I am a current CUBM student
 
Fully Online Summer 2013 - Session 1 (May 2 - July 9)
(check the courses below that you would like to register for)
 SCS 215 - Earth & Space Science KE
 PSS 201 – Introduction to Psychology KE
 ACE 150 – Fundamentals of Accounting KE
 HUM 119 –Humanities from the Renaissance to the Present KE
 HUM 118 – Classical and Christian Cultures KE
 BIB 112 – Old Testament Survey KE
 ACE 155 – Faith and Money KE
 PSS 105 – Priorities, Goals, and Attitude KE
Classroom Summer 2013 - Session 1 (May 2 - July 9)
(check the courses below that you would like to register for)
 HUM 118 Renaissance to the Present—Main Campus Beaver Falls
 BIB 112 Introduction to Old Testament –Main Campus Beaver Falls
 BIB 113 Introduction to New Testament—Main Campus Beaver Falls
Summer 2013 (May - August)
(check the courses below that you would like to register for)
 EGL 101 English Composition—hybrid online
Tuition Payment Method
Credit Card
Cash or Check
Financial Aid, as approved

Payments

Fully Online Courses and Classroom Courses
Books are included with tuition

Tuition is $433 per credit which must be paid at registration by credit card, check or money order to hold your place in class. Students using financial aid must file the Free Application for Federal Student Aid (FAFSA) and be approved by the Financial Aid Office. Enrollment in hybrid online and fully online courses impacts your Pennsylvania state grant eligibility.

Bridge Program Withdrawal Policy
A 100 percent tuition refund is given up to the first day of the class start. A 60 percent tuition refund is given from the first day of class through the seventh day after the class starts. No refund is given after the seventh day after the class starts.

Please sign this form by typing your name and typing the date in the spaces provided below. Your signature validates this application and indicates that you have completed the information and that the information is true. 
Signature: Date:


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