Register for the program

First name *

Last name *

Date of birth *

month/day/year

Preferred email *

Phone number *

Your anticipated location during the program *

City, State

Have you attended Boise State, Louisiana Tech or another university? *

No college
Some college
Concurrent enrollment
Undergraduate degree holder
Currently a Boise State student
Currently a Louisiana Tech student

Select all that apply

Your Boise State or Louisiana Tech student ID#

Only if you have one - not required

When are you typically available for virtual meetings this fall? *

Weekday mornings
Weekday afternoons
Weekday evenings
Weekends

Select all that apply

In the Bronco Gap Year program, students focus on a theme based on their interests and goals. Which of the below themes are you most interested in? *

Creative project
Education
Entrepreneurship
Major and career exploration
Professional Development

Select your #1 preference

Tell us about yourself. Share your story in 200 words or less. *

Tell us about your goals. Describe your motivation for joining the program. By the end of the experience, what do you hope to have learned or achieved? Be specific. *