SWDPS Math Bridge Information Form The class runs during the Summer Session II (July 7-August 15) at the Queensbury Main Campus. The program aims to provide additional support and resources to help students succeed in their math courses and prepare for the Fall semester. If eligible and interested, please complete this brief interest form and ASO staff will reach out to you.Students must meet the following criteria: Students must be registered with or have the intention to register with the Accessibility Services Office prior to the start of Summer Session II. Students must have placed/tested into MAT 099 and/or MAT 109. Students must be able to attend classes from July 7th to August 15th, on Mondays, Tuesdays, Wednesdays, and Thursdays. Students must be able to arrange their own transportation. First NameLast NamePreferred First NameEmail AddressMobile Phone NumberBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Mailing AddressMailing AddressCountryStreetCityRegionPostal CodeHave you been enrolled at SUNY Adirondack or any other institution of higher education within the past two (2) years?YesNoHave you ever taken classes at SUNY Adirondack?YesNoBy checking this box, I am registered with the Accessibility Services Office or I have the intention to register with the office prior to the start of the Summer II session no later than June 23 2025. Failure to do so will result in loss of eligibility.By checking this box, I am registered with the Accessibility Services Office or I have the intention to register with the office prior to the start of the Summer II session no later than June 23 2025. Failure to do so will result in loss of eligibility.I understandBy checking this box, I understand that registration with the Accessibility Service office is a requirement to receive financial support for the course. By checking this box, I understand that registration with the Accessibility Service office is a requirement to receive financial support for the course. I understandBy checking this box, I verify I am eligible and available to attend the MAT099/109 course at the Queensbury Campus from July 7th to August 15th, on Mondays, Tuesday, Wednesday, and Thursday from 9am to 10:45am and (if appropriate) MAT099 Mondays, Tuesdays, and Wednesdays from 11am to 12:25PM.By checking this box, I verify I am eligible and available to attend the MAT099/109 course at the Queensbury Campus from July 7th to August 15th, on Mondays, Tuesday, Wednesday, and Thursday from 9am to 10:45am and (if appropriate) MAT099 Mondays, Tuesdays, and Wednesdays from 11am to 12:25PM.I verifySubmit