Enrollment Application

Enrollment Application

Please fill the form, below. It should take about 8-10 minutes to complete. You will also need to pay a refundable deposit via PayPal.
Name *

First Name Last Name
Date of Birth *

Day Month Year
Gender *
Current Grade *
US equivalent
Country of Residence *
Which Camp would you like to join?

1. Entrepreneurship & Innovation w/ UCLA Extension (US$1,899):
Learn how to build a resilient and innovative business by working in teams to identify a market need, design a solution, build a protype, and present your plan and product. Earn UCLA Extension credits and UC grades and transcripts.

Optional Add-on: Social Entrepreneurship module (add'l $900)

2. Social Impact & Leadership w/ Bridge Experiences (US$1,899):
Meet leaders of Social Enterprises from Asia to learn about their journey and how you can build your own impactful enterprise. Also gain leadership and purpose coaching from a tean of Stanford GSB alumni.
Camp Selection *
Optional Social Entrepreneurship module
For Entrepreneurship & Innovation Program only. Don't worry, you can change you mind later.

Student Information
Email *
Student Home Phone *

Country Code Area Code Phone Number
Student Mobile Number

Country Code Area Code Phone Number
Please note that Phone number fields, including Country and Area Code, can not be blank. If there is no Area Code, enter "0". Sometimes, you will continue to see an error message after filling the fields. Just continue to the next field. The error message should disappear.
Permanent Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Country of Citizenship *
Add another Citizenship
Additional Citizenship

Parent/Guardian Information
Relationship *
If Other, please specify
Parent Name *

Prefix First Name Last Name
Parent Email *
example@example.com
Parent Home Phone *

Country Code Area Code Phone Number
Parent Mobile Number *

Country Code Area Code Phone Number
Please note that Phone number fields, including Country and Area Code, can not be blank. If there is no Area Code, enter "0". Sometimes, you will continue to see an error message after filling the fields. Just continue to the next field. The error message should disappear.
Parent Address same as Student
Parent Address (if different from Student)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Add Parent/Guardian #2
Parent2 Relationship
If Other, please specify
Parent2 Name

Prefix First Name Last Name
Parent2 Email
example@example.com
Parent2 Home Phone

Country Code Area Code Phone Number
Parent2 Mobile Number

Country Code Area Code Phone Number
Parent2 Address same as Student/Parent1
Parent2 Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Deposit and Declaration
Payment
Application Deposit - $200 SGD
prev next ( X )
Application Deposit $ 200.00 SGD
Your application will not be completed until you submit a deposit of SGD200. If you do not have a PayPal account or would like to pay by another means, please send us a note at enquire@tribridgelearning.com.

Total $ 0.00 SGD
Provide us with an email where we can send a PayPal payment request. Please note that your Application is not complete without payment of a deposit.
example@example.com
Payment Preference (for balance of enrollment fee) *
Please tell us how you would like to pay the balance of the enrollment fee. Upon approval and acceptance of the application, you will be invoiced, and you must pay the balance. Failure to pay balance will result in forfeit of deposit.
Declaration

Both the Student and a Parent/Guardian must check the boxes and sign below.
By student applicant. *

I hereby declare that I have provided accurate information in this form myself (the student applicant).
Student Signature

Clear
For an applicant under the age of 18. *

I, the parent/guardian of the applicant hereby consent to this application for study
Parent/Guardian Signature

Clear
Should be Empty:

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Student Information