Application - Disability Center

Bridge to MU Application
The Bridge to MU program is a transition program developed specifically for first-time incoming freshmen
who have established an accommodation plan with the Disability Center. This program takes place
Monday, August 17th and Tuesday, August 18th, beginning morning and ending by late afternoon. Lunch
will be provided on both days of the program for students.
This program also includes information for parents/guardians. This will take place on the first day,
Monday, August 17th separate from the student sessions. Parents’/guardians’ attendance to these sessions
is not required for the student to participate in the Bridge to MU program. The additional sessions on
Tuesday, August 18th will be for students only.
Students accepted into the Bridge program will be allowed to move in to the residence halls early at no
extra cost. Students should expect to move in the evening of Sunday, August 16 th. Final information and
schedule of events will be emailed to students’ Mizzou email accounts if they are accepted into the
program and have confirmed that they will attend. Early move-in costs will be covered by the Bridge
program for students who participate in all sessions both days. If the program is not completed by
students after moving in early, they will be responsible for the fees charged by Residential Life.
All completed applications are due to the Disability Center by Friday, July 24, 2015. Applications may be
sent by:
 Using the online form located on the Disability Center website
 Dropping it off to the office Monday through Friday between 8am and 5pm
 Mail: Disability Center, S5 Memorial Union, Columbia, MO 65211
 Fax: 573-884-5002, Attn: The Bridge to MU
 Email: [email protected]
The application should be filled out by the applicant only. Those that are not will not be accepted.
Applicants who meet the initial criteria for acceptance will be contacted by phone for a follow up interview
before the final participants are selected.
We are committed to ensuring that this program is accessible to all participants.
If you have questions about access or specific accommodations, please let us know.
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Bridge to MU Application
Name:
_______ Student #: ___________________________
Student Home (Permanent) Address: ________________________________________________________
City:
State:
Zip: _________________
Student MIZZOU (School) Address: __________________________________________________________
City:
Home phone: (
State:
)
______
Zip: _________________
Student Cell phone: (_____) _________________
Student MIZZOU Email address: ______________________________________
Major (if known):_________________________________________________________________________
How confident are you this will be your major when you graduate? (1 being uncertain; 5 being certain)
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Do you have any dietary restrictions? Yes
If yes, please describe:
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3
4
5
No
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Instructions:
Write an essay answering the questions below. There is no word minimum or maximum. However, we do
want you to be thoughtful and thorough in your response. Your essay will provide us insight on your
experience as a student with a disability and provide us feedback that we can provide to the presenters in
order to tailor the program to fit your needs. It is extremely important that you, the student, participate
and write this essay, not your parents/guardians.
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Tell us about your experience in high school.
In high school, who was your favorite teacher, and why?
In high school, what was your favorite class, and why?
What accommodations did you use? Were they helpful? Why or why not?
What questions or concerns do you have about attending college?
What activities or organizations would you like to be involved in during your first year in college?
Please conclude your essay answering why you want to be a part of the Bridge to MU program.
I hereby authorize University of Missouri Bridge to MU program to contact me by email or phone in
regards to this application. I understand that if I do not complete the Bridge to MU program after moving
in early that I am responsible for all early move-in fees charged by Residential Life.
______________________________
Student Signature
_______________________________
Printed Name
________________
Date
All completed applications are due Friday, July 24, 2015 to:
Disability Center, S5 Memorial Union; Columbia, MO 65211
Fax: (573) 884-5002 or Email: [email protected]
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