Benefits:
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Explore four UC campuses: Berkeley, Davis, Santa Cruz, and Santa Barbara!
Visit San Francisco
Receive individualized academic advising
Hotel, transportation, and breakfasts provided !
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Be a currently enrolled Santa Ana College student
Priority will be given to SAC students who:
 Have at least a 2.75 Transferable GPA
 Have not participated in the northern trip before
 Are following the UC general education plan (IGETC)
Selected participants must attend a mandatory orientation Date& time: TBA.
Requirements:
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Priority Deadline is on April 17, 2017 (limited space available):
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Complete Northern Trip Interest Form and submit to the University Transfer Center (S-110)
Priority Deadline: Monday, April 17, 2017 by 5pm.
Students selected will be notified through e-mail.
A $50 non-refundable fee will be due no later than Monday, April 17, 2017 by 5pm.
Participants will need to enroll in Counseling 110 (2-unit course) during orientation.
Expand Your Horizons!
For additional information, visit the
University Transfer Center in S-110 or call (714) 564-6165
NORTHERN TRIP – Summer 2017
Participant Interest Form
Priority Deadline: Monday, April 17, 2017 at 5pm
For priority consideration, you must submit all the following to the University Transfer center:
1.
2.
Receipt from Santa Ana College’s Cahier’s Office
Completed Interest Form
3.
4.
Unofficial Transcripts
Education Plan
* Students who decide to withdraw from the Northern Trip are responsible to drop Counseling 110 course. Failure to
drop course may result in a letter grade and fees/holds.
Applicant Information
SAC
ID#:_______
Date of
Birth:______
Full Name:
Last
First
Address:
Street Address
Apartment/Unit #
City
State
Phone:
ZIP Code
Email:
YES
Have you participated in the Northern Trip before?
NO
Home Campus: SAC
SCC
Major: ____________________________________
Transferable Units
Applied before?
Completed:_________
YES or NO
Cumulative GPA: _________
I am part of the following
programs/services:
Which General Education Plan are you following?
Yes
Have you met with a counselor?
YES
CSU- Plan B
IGETC- Plan C
Disabled Student Services (DSS)
No
□
Veteran Resource Center
NO
Yes
If yes, what is the counselor’s name?
□
□
No
□
______________________________________
Which schools are you interested in transferring to? :
______________________________________________
Indicate any SAC special programs you are participating in: ______________________________________________
Are you a current EOPS student?
YES
NO
I have completed this application to the best of my knowledge and I have read all the information on both sides of the
informational flyer.
Signature:_______________________________________________
Date:______________________________________
Office Use Only
Date Received:______________ Time Received:_________________
Date received: ______________________ Receipt #: _________________________
Eligible (circle one): YES
NO
GPA________
Total transferable units______
� Eligible
� Not Eligible
Staff Initials:_______________
Staff Initials: _____________________
Verified by:________________________