Miramar CalWORKs College Prep Academy Registration Form

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Please fill this form out to register for the Miramar CalWORKs College Prep Academy. After completion of this form, you will receive additional information about parking and how your Welfare-to-Work hours will be verified.

The College Prep Academy will meet EVERY FRIDAY starting September 20 through November 8 from 9am-12pm. Room M-101 (Math & Business Building)

Email *

First Name *

Last Name *

Phone Number *

County Case Number *

Do you have a high school diploma or GED equivalent? *

Yes

Who referred you to our College Prep Academy? *

PCG

ResCare

CRF - Step Forward

Continuing Education - Miramar

ETA/ECM Name *

ETA/ECM Email *

Submit

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