Express Interest in 2022 Summer Program 

  
 

PLEASE COMPLETE THE FORM BELOW TO REGISTER FOR THE SUMMER 2022 PROGRAM!

Please note:  Only GEAR UP students are eligible to register via this form.  Once we receive your registration, we will follow-up with a confirmation of your selections.

Questions?  Please email gearup@uwgb.edu.  

Student Info








mm/dd/yyyy


Please enter a 10-digit phone number with no dashes

Parent/Guardian Info






Summer 2022 Program



Please confirm that you would like to register for the Summer 2022 Program


If you are interested in signing up for other GEAR UP services through UW-Green Bay then head to our GEAR UP webpage at: 
 https://www.uwgb.edu/gear-up/ 
for those registration links!