Ayers SSS Application
Đăng nhập vào Google để lưu tiến trình của bạn. Tìm hiểu thêm
Email *
Student First Name *
Student Middle Name *
Student Last Name *
Student Preferred Name *
What is your mailing address? *
Date of Birth *
DD
/
MM
/
YYYY
What is your A number? *
Email address? *
Phone number?
May we text you?
Xóa lựa chọn
Gender? *
What is your race? If more than one, check all that apply *
Bắt buộc
Are you of Hispanic ethnicity? *
Is English your native language? *
Are you a U.S. citizen? *
If you are not a U.S. citizen, are you a legal resident?
Xóa lựa chọn
Green card number, if applicable
Are you a veteran? *
What is the highest educational level your mother completed? *
What is the highest educational level your father completed? *
Do you have a documented disability? *
If yes, please list disability below:
Have you registered with the ADA Coordinator?
Xóa lựa chọn
Date graduated from High School
DD
/
MM
/
YYYY
Date completed GED
DD
/
MM
/
YYYY
What is your major? *
Do you have a Bachelor's Degree? *
Are you currently working toward your undergraduate degree?
Xóa lựa chọn
Which do you plan to earn? *
Do you plan to transfer to a four-year college? *
What school do you plan to transfer to, if applicable?
A student is considered Independent (even if under the age of 24) for the following reasons. Check all that apply. *
Bắt buộc
As an applicant for the Student Support Services I do hereby verify, to the best of my knowledge, that my household taxable income for 2021 was (This amount can be found on line 11b of the 1040 Federal Income tax return form. Type amount below.) *
Number in Household *
Parent's signature (required for dependent student) I do hereby verify, to the best of my knowledge, that my household taxable income for 2021 listed above is true...... (Type name below). *
Please type "N/A" if you are an Independent student
Student's signature--I do hereby verify, to the best of my knowledge, that my household taxable income for 2021 listed above is true.......... (Type name below). *
Which SSS Program activities are you interested in? Check all that apply. *
Bắt buộc
Which workshops are you interested in? *
Bắt buộc
Student Support Services Mission Statement: Our purpose is to help you be a successful student at Gadsden State who will graduate and/or transfer to a four-year university within four years. Student Support Services is fully funded by a grant of $982,120 by the U.S. Department of Education. I verify that the information on this form is true and complete to the best of my knowledge and grant the Student Support Services (SSS) staff permission to review information maintained as part of my permanent records, including admissions data, grades earned, or other information pertinent to my status in the Student Support Services Program. I authorize SSS to obtain information from financial aid including financial awards, remaining need, and SAP status. I give Gadsden State permission to send my information to the National Student Clearinghouse for future tracking of graduation and/or transfer. I understand my photo may be taken at SSS events and used on marketing and social media. Choosing to opt out of photo opportunities during these events will be my own responsibility. Failure to remain an active SSS participant (maintaining at least two face-to-face contacts during the semester.  will result in removal from the program. By typing my name below, I am electronically signing my application to Student Support Services. *
Please type your full name here. Watch out for a generated answer of "AL" or "Alabama".
Today's date *
DD
/
MM
/
YYYY
Giờ
:
It is the policy of the Alabama Community College System, including all institutions under its control, that no person shall, on the grounds of race, color, disability, gender, religion, creed, national origin, or age, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program, activity, or employment. (Each institution will make reasonable accommodations for qualified disabled applicants or employees.)
Student Support Services Mission Statement: Our purpose is to help you be a successful student at Gadsden State who will graduate and transfer to a four-year university within four years. Student Support Services is fully funded by a grant of $982,120 by the U.S. Department of Education.
Gửi
Xóa hết câu trả lời
Không bao giờ gửi mật khẩu thông qua Google Biểu mẫu.
Nội dung này không phải do Google tạo ra hay xác nhận. Báo cáo Lạm dụng - Điều khoản Dịch vụ - Chính sách quyền riêng tư
Google Biểu mẫu