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Please email your answers to rebound@sfsu.edu . You may also print out this form and send your questionaire to:

Project Rebound
Associated Students Inc.
Cesar Chavez Student Center
1650 Holloway Avenue, T-138
San Francisco, CA 94132-1722

1) Your name: _________________________
2) Mailing address: ____________________________
3) Phone number: __________________________

Please check the information which best describes you:

4) I have:
a high school diploma / GED / neither a H.S diploma or GED

5) I took the:
SAT / ACT / neither (tests are usually given during high school)

6) I have at least 56+ transferable college semester units or 84 quarter units:
yes / no

7) I have completed college courses in the areas listed below:
yes / no

8) If yes, please indicate which of the following you have completed:
Written Communication / Oral Communication / Critical Thinking / Quantitative Reasoning

9) I have defaulted on student loans:
yes / no

10) Please indicate your expected release date: ____________________________

11) Please indicate which semester and year you wish to attend S.F.S.U:
Spring 2004 / Fall 2004 / Spring 2005 / Fall 2005 /
if at a later time, please state the date: ___________________

Thank you for filling out this questionaire.

Contact Project Rebound directly at rebound@sfsu.edu .