Bridge Program Form

Student Information

First Name

Middle Name

Last Name

Email Address

Birthdate

Phone Number

Phone Number Type

Mailing Address

Country

Street

City

Region

Postal Code

School History Information

Technical college you are currently or will be attending:

Intended major at the technical college

Anticipated number of college credits before transferring (must be at least 30)

Have you completed any other college credits from another institution?

Total Number of College Credits from other Institutions

Have you applied to Anderson in the past?

Intended AU Major

When do you anticipate to enroll at Anderson?

Referral Information

Complete this section with your advisor if you are a current technical college student working with a technical college advisor to transfer to Anderson University at least one semester from now.

Advisor Name

Date

College and Department

Telephone Number

Terms and Conditions

I accept the following conditions,

I authorize my current technical college to send my application and academic credentials to the institution listed above for admission into the AU Bridge Program. I am responsible for contacting the technical college’s Office of Admissions for further instructions for admission to that college. I authorize Anderson University and the technical college to share my information with one another, including but not limited to academic transcripts, grades, and courses. This information may be used for reverse transfer of hours to the technical college for completion of an associate’s degree. I will complete at least 30 hours of non-developmental coursework at the technical college with at least a 2.5 GPA before transferring to Anderson University

Yes