| First Name: |
Last Name: |
| El Camino College Student ID #: |
Best Contact Phone Number: |
| Email: |
How many will be attending (including yourself): |
| I. BACKGROUND |
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| Are you the first person in your family to go to college? |
Yes |
No |
| Have you applied for any financial aid? |
Yes |
No |
| Are you and athlete? |
Yes |
No |
| Are you interested in playing sports? |
Yes |
No |
| If yes, what sports are you interested in? |
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| Are you planning to work while attending college? If so, how many hours per week? |
Yes |
No |
| Have you completed an El Camino College: |
Online Orientation |
In-Person Orientation |
| Completed Both |
None: |
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II. GOALS
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| Major: |
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| Educational Goal(s): (check all that apply to you) |
Certificate |
AA/AS Degree |
Transfer |
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Other |
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| If you are a student with a disability and require any accomodations, such as large print, Braille, or interpreting services, please indicate the accomodation you are requesting here: |
| I authorize communication from El Camino College through email: |
Yes |
No |
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| I release the use of event photographs for publicity purposes: Yes No |
| Student Signature(type in your name in the box provided): Date: |
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