Register For Jumpstart Program

Register for the Jumpstart Program

Thank you for your interest in the Jumpstart Program, a five-week academic enrichment and leadership development program that gives students the opportunity to earn up to 9 credits while living on campus over the summer. You must attend New Student Orientation on June 9-10, 2016 or June 14-15, 2016 in order to qualify for the program.

*Please fill out this form to register for the Jumpstart program only if you have already been accepted to Delaware State University for the 2016-2017 academic year.

I am a *

My Current Level of Interest is *

Last Name *

First Name *

Middle initial

D Number *

Date of Birth *

Month

Day

Year

Gender *

Address 1 *

Address 2

City *

Parents Email Address

State *

Zip Code *

Home Area Code

Home Phone Number

Cell Area Code

Cell Phone Number

Email Address *

High School Name *

Current GPA *

Graduation Date *

Month

Day

Year

SAT or ACT Composite Score

Expected Term of Enrollment *

Academic Majors *

Minor

Register For Jumpstart Program

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Register for the Jumpstart Program

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Register For Jumpstart Program

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Register for the Jumpstart Program

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