We will only contact the person below in the event of an emergency. We will not store their information for other use or otherwise call them.
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
I understand that the Summer Bridge events span multiple days. I agree to participate in the following events (check all events) *
Required
Are you a current TRIO SSS student at WVC? *
If you are not a current TRIO SSS participant
After completing this form, you must also complete the TRIO SSS program application in order to attend Summer Bridge. Visit wvc.edu/trio to complete application or email trio@wvc.edu for assistance.
Agreement
By submitting this application, I understand that, if I am unable to attend one or more of the events above, I will need to reach out to the TRIO office at trio@wvc.edu or (509) 682-6978 as soon as possible to make other arrangements.