Residence Hall Program

To apply for participation in the PCC Program complete this form and submit by April 15th (by February 24 for early decision).

Please provide the following information:

* Indicates required information.
Name:*
Date of Birth:*
Address:*
City:*
State/Province:*
Zip/Postal Code:*
Phone:*
Email:*

High School Graduation Year:

Name of High School last attended:

City in which this High School is located:

(if different from your address)

When do you plan to begin taking classes at BGSU:

In approximately 500 words (2-3 double spaced typed pages) tell us why you would like to be a teacher. As well, please tell us why you would like to participate in the PCC program. Your response may be used in selecting stu-dents for the program so let it reflect your goals, motivation or any other factors that might provide evidence of your interest in the program.

Thank you very much for completing this form.

To submit your information click the "Submit" button below. After you press the Submit button, BE SURE that you print the next page that you see and also save a copy as a text file.

For more information please contact:

Partners in Context and Community

015 Kohl Hall

Bowling Green State University

Bowling Green, OH 43403

(419) 372-9443

Fax: (419) 372-9779

Email: pcclc@listproc.bgsu.edu

Partners in Context & Community
http://www.bgsu.edu/colleges/as/pcc
Bowling Green State University, Bowling Green, OH 43403
Copyright (c) 2001. Bowling Green State University.
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