ConocoPhillips Academic Success Bridge Program

ConocoPhillips Bridge Online Application

The information you provide will be verified with the Texas Tech Application for Admissions Packet. Your personal and academic information will be gathered from the Texas Tech Student Information System. Provide your full legal name and other identifier information to accurately assess your admissions packet. Some information requested below is not available on your admissions packet.

NOTICE: You must have completed the Math Placement Exam in order to fill out this application. If you have not taken the exam, please visit the Math Placement Exam Page to find out examination schedules, meaning of the examination scores, etc.

ConocoPhillips Bridge Application

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Personal Information

First Name:
Middle Name:
Last Name:
Est. Fall Work Hours:

RNumber:
Math Placement Score:
Name of High School:

Contact Information

Email Address:
Country:
Street Address:
City:

Phone Number:
State/Region:
Zip/Postal Code:

Questions

To help us match you with potential peers and mentors, describe your interests and hobbies. *

Scholarships are available in the program; what information would you like to be considered in the decision? *

Do you have an impairment or disability, as defined by the Americans with Disabilities Act of 1990, that will require reasonable accommodations during the ConocoPhillips Academic Success Bridge Program? (The answer to this question will not affect your acceptance to the program). *
Yes No

Information For:

The College

Departments

ConocoPhillips Academic Success Bridge Program

ConocoPhillips Bridge Online Application

ConocoPhillips Bridge Application

Fields marked by are required.*

Information For:

The College

Departments

ConocoPhillips Academic Success Bridge Program

ConocoPhillips Bridge Online Application

ConocoPhillips Bridge Application

Fields marked by * are required.

Fields marked by are required.*