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Liftoff! 2024 Summer Bridge Program Application
Liftoff! is a unique summer experience occurring July 15th - August 12th in-person where incoming first year students have the opportunity to live on-campus, complete 4-credit hours of study, meet fellow Leathernecks, and get all the insight they need to be ready for their experience at Western Illinois University! There are required virtual orientation and preparation meetings occurring in the weeks before participants move-in on July 14th. Applications close on June 28th, 2024. Secure your spot now!
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Email *
WIU ID *
First Name *
Last Name *
WIU Email Address *
Please note all correspondence related to the Summer Bridge Program will go to your WIU Email address. 
Date of Birth *
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Preferred Phone Number *
Can you arrive on campus July 14th and stay through August 12th AND participate in remote meetings during the first weeks of July? *
Note: Both components are required. 
Have you completed your 2023-24 FAFSA yet? *
Completing both the upcoming year and previous year FAFSA is required. Applications without this will not be considered.
Have you completed your 2024-25 FAFSA yet? *
Completing both the upcoming year and previous year FAFSA is required. Applications without both years' FAFSA will not be considered.
Are you admitted through the Reach program? *
What is the highest level of school completed by your parent(s) or guardian(s)? *
Do you have any special dietary needs for your stay on campus? Please share.
Do you have any room accommodations you will be needing? If so, please let us know what they are below and we will contact you.
T-Shirt Size (Unisex sizing) *
Please mark all that you have completed (check all that apply)  *
Required
What questions do you have about the Summer Bridge Program experience?
What do you hope to learn during your Liftoff! Summer Bridge experience? *
Please review the Summer Bridge Participation Agreement here. If selected as a participant, you must submit a signed copy of this agreement, after selection into the program.  *
Please fill out the mircofridge rental form here, if you want to rent a mini-fridge/microwave combination unit. The cost is $60. If your roommate also requests one, you will share one and the cost is billed to your student account (not a covered cost for the program).  *
Please type your full name indicating all the above information is current and accurate. *
Did you have an IEP or 504 plan in high school? (If you did, we will connect you to our Disability Resource Officer for assistance) *
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