Summer Bridge Program Confirmation Form

  • Step Beyond Summer Bridge Program

    2019 Confirmation Form

    June 23-July 19, 2019

    Today's date:     
    First Name:      
    Last Name:  UMES ID#: 
    Date of Birth (MM/DD/YYYY) Gender:
    Street Address:  City: 
    State:  Zip: 
    County:      
    Home Phone:  Cell Phone: 
    Email Address:     
    High School   Date of High School Graduation:  
    Intended Major:     
    Parent/Guardian Name(s):       
    Parent/Guardian Phone Number:  Parent/Guardian Email Address: 
    Parent/Guardian Phone Number:  Parent/Guardian Email Address: 
    How did you hear about the summer bridge program?:
    Other (Please specify): 
     

    Statement of Intent: (Please tell us in a paragraph why you want to earn admission to UMES for the fall 2019 semester; your goals for the future and how this program can benefit you.)
     

    *Students with disabilities are encouraged to disclose and forward all supporting documentation to the Office of Student
    Accessibility Services (formerly the Office of Student Disability Services): Email: jacasares@umes.edu; Additional Email
    Contact: cmschaffer@umes.edu; Phone: (410) 651-7848

    Payment Schedule: $1000.00 total must be paid in full prior to the start of the program

    Program Deposit: $350.00

    Date: April 19, 2019 (Friday)

     

    2nd Payment: $325.00

    Date: May 17, 2019 (Friday)

    Final Payment: $325.00

    Date: June 14, 2019 (Friday)

    All fees are non-refundable. If you have difficulty adhering to the payment schedule above, or if you have additional questions, please contact the Center for Access and Academic Success via e-mail at caas@umes.edu or by phone at 410-651-6457.

    In order to reserve your spot in the program, you must pay your deposit of $350.00 by credit card to the Step Beyond Summer Bridge Program by calling the UMES Office of Student Accounts at (410)-651-6092/6093. All fees are non-refundable.

    By federal law Financial Aid cannot be used to cover Step Beyond tuition. Total cost must be paid in full prior to the start of the program.