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Puente Interest Form
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* Indicates required question
Student Name (First and Last)
*
Your answer
SWC Student ID#
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
SWC Email
*
Your answer
Personal Email
*
Your answer
High School Completion Date
*
MM
/
DD
/
YYYY
Last High School Attended
*
Your answer
What is your major - what do you want to study?
*
Your answer
Select the English class you were placed in
*
Choose
English 115
English 115 and English 45 (support)
English 114
Other
What is your career choice - what do you see yourself doing after finishing school?
*
Your answer
Transfer Goal (Select all that apply)
*
UC's
CSU's
Private
Out of State
Required
Select universities you would consider for transfer
*
UCLA
UC Berkeley
UC Davis
SDSU
CSU Long Beach
UCSD
Other:
Required
Are you the first in your family to attend college?
Yes
No
Clear selection
What do you anticipate as your biggest challenge in school?
*
Time Management
Money Management
Study Skills
Social Isolation
Taking Classes Online
Which is your favorite candy? Select one
*
Skittles
Starburst
3 Musketeers
M & M Peanuts
M & M Milk Chocolate
Snickers
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