PRE-COLLEGE SUMMER BRIDGE PROGRAM

On behalf of Fisk University, President Vann Newkirk, and the Pre-College Summer Bridge Program (PCP)…Congratulations and welcome!!  I am excited about your decision to be a part of the Fisk experience.  You are already on your way to being a part of the Fisk Class of 2026 and we eagerly anticipate your successful involvement with us this Summer & Fall 2022!!


PCP provides an academically stimulating, and culturally motivating experience.  With a goal to increase the number of students who successfully matriculate through the undergraduate curriculum, this program is designed to bridge the gap of skills and knowledge between high school and college.  Students are not only provided with academic support during the five-week summer experience, but continue receiving tutoring, academic counseling and mentoring through the fall and spring semesters of the school year.  Program dates for the upcoming summer are:  July 5th through August 4th.


In addition, participation with PCP provides:  acclimation to campus life, advanced opportunities for proper class registration, housing, social interaction towards relationship building with your fellow classmates, engagement with Fisk alumni/professionals, as well as the ability to earn six credit hours towards your degree!


Complete this application making sure that we have received your completed FAFSA forms for both the 2022-23 and 2021-22 academic years, that it is accompanied by the $50 deposit fee, and that you have received confirmation of receipt.  To do that, you can use the folllowing link:     https://payit.nelnet.net/form/cNv0Eg4M , or contact me at (615) 329-8605 or send an email to ithompson@fisk.edu.


The $200 deposit for fall enrollment is still due as previously communicated and is a part of your acceptance to Fisk.  It is separate from the $50 PCP deposit.


Know that as the world progresses towards a cure, mandated protocols and recommended safe practices relative to operation remain our highest priority.  Be assured that we are working to make the best decisions concerning you and our campus’ safety, while providing the most enjoyable, educational, and effective summer ever!

 

Be smart, stay safe, and know that we look forward to engaging with you—our oncoming Fiskites soon!  You have my very best wishes as you embark on this journey, and I look forward to receiving your completed information very soon.   Once again, congratulations future Fiskite!!


Warmest regards,

Isaac Thompson, PCP Director

Applicant Name*
Home Address*
Mailing Address
Date of Birth*
Gender*
Official Fisk Acceptance?*
2022-2023 FAFSA Submitted?*
2021-2022 FAFSA Submitted?*
AP Credited Coursework (>3)
Graduation Date*
Other Program Conflicts

PARENT/EMERGENCY CONTACT

Parent or Guardian Name*
Authorized to be released to?*
Parent or Guardian Name
Authorized for child's release?
Address*
Mother's Level of Education*
Father's Level of Education*
Authorized for child's release?

AUTHORIZATION

CERTIFICATION


I, by my signature, certify that all of the answers I have given in the application are complete and accurate to the best of my knowledge. I understand that my custodial parent must also sign this application if I am under the age of 18 years old.


  

WAIVER OF LIABILITY


I, by my signature, hereby acknowledge that I understand the contents of this application, and have signed the same as my own free act and deed.  By signing it I declare and agree that it is my intention to exempt and relieve Fisk University (servants, successors and assigns, directors trustees, officers, employees, and other representatives from any liability for personal injury, property damage or wrongful death caused by negligence or any other cause and follow the program rules. I understand that I am responsible for any loss or damage to the facility or equipment caused by my or my child as a result of failure to comply with Pre-College Program or Fisk University rules.


I, by my signature, agree to adhere to ALL university protocols with respect to COVID-19 (testing, quarantine, isolation, etc.).


I understand that I have a duty to provide primary accident and medical insurance for my child (or for myself) and I declare that my child is (or I am) covered by primary accident and medical insurance.



USE OF LIKENESS


I, by my signature, do hereby grant permission to Pre-College Program, its agents, and others working under its authority, full and free use of video/photo-graphs containing my or my child’s image/likeness. I understand these images may be used for promotional, news, research and/or educational purposes. I hereby release, discharge, and hold harmless said program and its agents from any and all claims, demands, or causes of action that I may hereafter have by reason of anything contained in the photographs or video.   I do further certify that I am either of legal age, or possess full legal capacity to execute the foregoing authorization and release. 

Use your mouse or finger to draw your signature above
Use your mouse or finger to draw your signature above
Date/Time*
Date/Time*

Pre-College Summer Bridge Program

Office of Admissions – Fisk University

1000 17th Avenue North, Nashville, Tennessee 37208

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