Name
First Name
Last Name
Suffix
BGSU Title
Email
Office Phone
-
Area Code
Phone Number
College
Please Select
Arts & Sciences
Allen W. and Carol M. Schmidthorst College of Business
Education & Human Development
Firelands
Graduate
Health & Human Services
Honors
Musical Arts
Technology, Architecture & Applied Engineering
N/A
Department
Office
Please Select
Academic Advising
Career Center
Center for Public Impact
College Credit Plus
Co-op & Internships
Deciding Student Program
Education Abroad
Learning Communities
Life Design
Online Learning/eCampus
Pre-College Programs
Pre-Professional Programs
Provost
Registration & Records
Student Employment Services
Please select the best scenario as it relates to your Pre-College Program
Looking to develop a new opportunity for Pre-College students
Looking for support for an existing BGSU Pre-College Program
What kind of program/camp will this be?
Please Select
New Program
Current or Existing Program
Previous Program (has not occured within the last 2-3 years)
Program Title (Name)
Program Description
Program Goals
Program Size
Individualized program (1-9 participants)
Small (10-20 participants)
Medium (21-49 participants)
Large (50-99 participants)
Other
Program Type
Residential Program/Camp
Day Program/Camp
Virtual Program/Camp
Event/Festival
Open House
Other
Program Length In Days
Please select the estimated number of days for the program to run. (i.e. for a three day camp enter 3)
Preferred Month for program to occur
Please Select
JANUARY
FEBRUARY
MARCH
APRIL
MAY
JUNE
JULY
AUGUST
SEPTEMBER
OCTOBER
NOVEMBER
DECEMBER
Select all that apply to support the program's budget model
Registration/Application Fees
Department funds will be supporting the program
Sponsorship/Fundraising
Other
Additional Comments/Information
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