You must have JavaScript enabled to use this form. Last Name First Name UC Merced ID# UC Merced Email Personal Cell Phone # Emergency Contact Name Emergency Contace Phone # Summer Mailing Address (for Bridge Materials) T-Shirt Size Technology Needs Laptop Internet Hotspot - Verizon Preferred Internet Hotspot - AT&T Preferred Webcam (note: many laptops have cameras built in) The Summer Bridge Program will provide loaner technology resources as needed. Please only request technology you currently do not have access to. Once confirmed, you will receive an additional email asking you to complete a contract for summer use of these assets. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. reCAPTCHA response
