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College of Charleston Collaboration Application for Bridge Program Students

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First Name
Last Name
Home Address
City
State
Zip Code
Current South Carolina County of Residence
E-mail Address
Area Code-Telephone Number
Date of Birth (mm/dd/year)
Are you a legal resident of the State of South Carolina for tuition purposes? If you check no or uncertain please contact the Legal Residency Office at 843-953-7312 or access www.legalresidency.cofc.edu.	Yes No Uncertain
Emergency Contact Name
Telephone Number
Which college do you plan to attend?
By clicking "submit" and submitting your application to one of our formal bridge programs, you are agreeing to allow that bridge institution and the College of Charleston to share your information pertinent to admission and academics.