Application, Deadlines & Sponsors

Bridge Builders COLLABORATE is a year-long leadership program for rising 7th-12th grade students. The program includes a one-week summer leadership conference and six trainings and electives during the school year.

Bridge Builders Application

Student Name
First Middle Last Suffix
Student Date of Birth*
Student Email Address*
Please confirm student email address by retyping*
Gender*
Your Current Grade in School*
Your Current School*
Year (2019-2020)
School you will be attending next year*
Year (2020-2021)
How did you first hear about Bridge Builders?*
If Other from above, Referral Name
Are you currently in the Bridge Builders® COLLABORATE year-long program?*
What interests you most to apply to the Bridge Builders program*
Do you have any siblings who are/were in a BRIDGES program?*
If Yes from above, please insert sibling name and birthdate
Student Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Student Mobile Phone*
Student Other Phone
How do you identify yourself?*
Other Identity (if not listed) above
Religious Affiliation*
Other Religious Affiliation (if not listed)
T-shirt Size*
What is your annual household income?*
Note: Annual Program Fee is based on annual household income. Proof of income may be requested. Visit www.bridgesusa.org/fees to view program fees by grade level.
BRIDGE BUILDERS ESSAY (Maximum 500 Words)--If you are currently in the program place NA in this portion.*
The mission of BRIDGES is to unite and inspire diverse young people to become confident and courageous leaders committed to community transformation. Please answer the following questions:* What does it mean to be a Bridge Builder? If selected, what would you contribute to the Bridge Builders program? What would you hope to gain?
Please list any: Awards/Honors (last 3 years) (Max characters allowed 250)
If you are currently in the program, you attended the conference last June or July, please skip this question.
Please list any: Community Service (last 3 years) (Max characters allowed 250)
If you are currently in the program, you attended the conference last June or July, please skip this question.
Please list any: Clubs/Sports (last 3 years, include offices held) (Max characters allowed 250)
If you are currently in the program, you attended the conference last June or July, please skip this question.
Parent/Guardian 1 Name
Prefix First Last Suffix
Parent/Guardian 1 Email*
Please confirm your email address*
Parent/Guardian 1 Home Phone Number*
Parent/Guardian 1 Mobile Phone Number*
Parent/Guardian 1 Work Phone Number
How do you identify yourself?
Parent/Guardian 1 Relationship to Applicant*
If chose "Other" from above what is Relationship to Applicant
Parent/Guardian 1 Address*
Is Parent/Guardian 1 address same as student?
Parent/Guardian 1 Address (if not the same as the student)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Parent/Guardian 1 Employer (write n/a if appropriate)*
Parent/Guardian 1 Position(write n/a if appropriate)*
Student's Parents Married?*
Student Lives With*
Parent/Guardian 2 Name
Prefix First Last Suffix
Parent/Guardian 2 Email
Please confirm your email address
Parent/Guardian 2 Home Phone Number
Parent/Guardian 2 Mobile Phone Number
Parent/Guardian 2 Work Phone Number
How do you identify yourself?
Parent/Guardian 2 Relationship to Applicant
If chose "Other" from above what is Relationship to Applicant
Parent/Guardian 2 Address
Is Parent/Guardian 2 address same as Parent/Guardian 1?
Parent/Guardian 2 Address (If not the same as the Parent/Guardian 1)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Parent/Guardian 2 Employer (write n/a if appropriate)
Parent/Guardian 2 Position(write n/a if appropriate)
Were you nominated by a teacher or community member for the Bridge Builders program?*
Nominator Name
First Last
Complete this only if you were nominated by a teacher or community member.
Nominator School or Organization
Complete this only if you were nominated by a teacher or community member.
Nominator Email

Complete this only if you were nominated by a teacher or community member.
Reference 1 Name
First Last
This is OPTIONAL--Please provide the name and contact information for two adult references who can speak about the qualities and leadership potential that would make you a strong candidate for this program (references should not include family members).
Reference 1 Organization/Employer
Reference 1 Phone
Reference 1 Email
Reference 1 Relationship to Applicant
Reference 2 Name
First Last
Reference 2 Organization/Employer
Reference 2 Phone
Reference 2 Email
Reference 2 Relationship to Applicant
Bridge Builders® Student Application Agreement*
Student Checkbox
I understand that I am applying to be a part of the Bridge Builders COLLABORATE program. If I am selected, I agree to fulfill all program requirements: attending a one-week summer conference and six events during the 2020-21 school year. By checking this box, I verify that I have read and agreed to the Bridge Builders Application Student Agreement.
Bridge Builders® Application Parent/Guardian Agreement*
Parent/Guardian Checkbbox
I/we understand that this application does not guarantee acceptance into the Bridge Builders® COLLABORATE program. If my student is accepted for the program, I understand the following:
1. To secure my student's placement in the program, I must attend a parent orientation and pay the required program fee.
2. My student will be required to fulfill all program requirements, including attending a one-week summer conference and six events during the 2020-21 school year.

2020-2021 School Year Application Dates

Date	Step
November 8	Application Opens
February 14	Early Application Deadline
March 6	Early Selection Notification*
April 17	Final Application Deadline
April 24	Final Selection Notification*
May 22	Final Enrollment Deadline

*IMPORTANT: Students selected for the program will be notified by email. Selected students must have their parent/guardian attend an orientation and pay their program fee to secure their placement. Program space is limited. Students are encouraged to apply and enroll early.

BRIDGE BUILDERS SCHOOL SPONSORS

If you have a specific question about the Bridge Builders COLLABORATE program, you can contact your school sponsor. Don’t see your school in the list below? That means BRIDGES is looking for our next sponsor there! Please contact Bridge Builders Recruitment Coordinator Freddy Dickerson with suggestions.

School	Sponsor Name
American Way Middle School	Gloria Anderson
Appling Middle School	Amy Pintchuck
Arlington High School	Melissa Owen
Arlington Middle School	Pamela Burt
Bartlett High School	Marcy Ross
Bartlett Ninth Grade Academy	Miranda Reyes
Bellevue Middle School	Kevin Malone / Montanique AbbeyeaBon Lin Middle School	Rachel Mogy / Pendora Sumlar
Booker T. Washington High School	Tara Harris
Brighton High School	Mary Jackson / Dwana Sneed
Brighton Middle School	Laura Richardson
Carver College & Career Academy	Tracy Gorea
Center Hill High School	Danielle Brown
Central High School	Tranese Nelms
Chickasaw Middle School	Mary Alexander
Christ Methodist Day School	Dr. Bryan Williams
Christ The King Lutheran School	Angie Acerra
Christian Brothers High School	Br. Joel McGraw
Collierville High School	Lesley Coleman / Hallie Ross
Collierville Middle School	Matt Moskal / Anita Swindle / Ann Blake
Colonial Middle School	Tivian Bernard
Compass Community Schools – Binghampton (K-8)	Michelle Webster
Compass Community Schools Midtown (7-12)	Lolita Miller
Cordova High School	Natasha Seymour
Cordova Middle School	Natasha Medford
Crosstown High School	Ginger Spickler
Cummings Middle School	Maria Austin
DeSoto Central High School	Adrian McNeil
Douglass High School	Rita Wright
Douglass K-8 Optional School	Marquis Healey
Fairley High School	Dr. Lane Fletcher
Freedom Preparatory Academy High School – Brownlee Campus	Marcos Villa
Freedom Preparatory Academy Middle School – Brownlee Campus	Jasmin McKenzie
Freedom Preparatory Academy Middle School – Flagship Campus	Marcos Villa
Germantown High School	Wendy Willingham
Germantown Middle School	Lana Wells
Grace-St. Luke's Episcopal School	Ellen Hendry
Hamilton High School	Christina Cropper
Harding Academy of Memphis	Paul Fisher
Havenview Middle School	Teresa Tate
Hernando High School	Anne Goss
Hernando Middle School	Lorrie Brazier
Hollis F. Price Middle College High School	Chaundra Boddie
Holy Rosary School	Elyse Benton
Houston High School	Meredith Holden / Amanda Freeman
Houston Middle School	Carla Christian / Diana Lang
Hutchison Middle School	Katie Sentilles
Hutchison Upper School	LaTonya Faulkner
Immaculate Conception Cathedral School	Keara Segara / Jan Kaplan
John P. Freeman Optional School	Yolanda Anderson
Kate Bond Middle School	Maude Bryeans
Kingsbury High School	Deitrick Love
Kingsbury Middle School	Alexandria Anderson
Lakeland Middle Preparatory School	Misty Manthe
Lausanne Collegiate School	Julie Cooper / Lisa Bailey / Samantha Douglas
Lewisburg High School	Shelley Dennie
Margolin Hebrew Academy	Talya Tsuna
Maria Montessori School	Rachael Grant
Melrose High School	Kristopher Davis
Memphis Academy of Health Sciences High School	Joyce Niter
Memphis Academy of Health Sciences Middle School	Erica Jackson
Memphis Academy of Science & Engineering	Marquita Wakefield
Memphis East T-STEM High School	Erika Banks
Memphis University School	Joe Abrahams / Amy Poag / Pete Sanders
Middle College High School	Tamara Jones
Millington Central High School	Georgette Farmer
Millington Middle School	Kaylin Greganti
Mitchell High School	Rodney Jackson
Mt. Pisgah Middle School	Angela Sanders
Munford High School	Angela Huffman / Courtney Fee
Olive Branch High School	Angela Burkes
Our Lady of Perpetual Help Catholic School	Katie Holt
Overton High School	Melanie McGuire
Pleasant View School	Jennifer Cartwright-Alejo
Presbyterian Day School	Ross Spain
Soulsville Charter School	Lauren McCain
Southaven High School	Donna Jarnagin / Selena Baker / Connie Rodgers
St. Agnes Academy	Lauren Thomas
St. Agnes Academy-St. Dominic School	Kathy Boccia / Chris Burke
St. Francis of Assisi Catholic School	Brittany Foster
St. George's Independent School (Middle)	Kyle Capstick
St. George's Independent School (Upper)	Heidi Rubin de la Borbolla
St. Mary's Episcopal School (Lower)	Andrea Stackpole
St. Mary's Episcopal School (Upper)	Sandra Pitts
The Coolnerds	Rachel Jones
W.E.B. DuBois Charter School (Middle)	Carol Mott-Miller
West Collierville Middle School	Rachel Reich
West Memphis Jr. High School	Sarah Sabin
White Station High School	Tamala Brown-Malone
White Station Middle School	Latrice Johnson
Whitehaven High School	Traci Townsel
Woodland Presbyterian School	Angie Hackmeyer
Word of Faith Christian Academy	Alaninco Watkins

Bridge Builders COLLABORATE is a year-long leadership program for rising 7th-12th grade students. The program includes a one-week summer leadership conference and six trainings and electives during the school year.

Bridge Builders Application

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