Student Information Sheet - Solano Community College

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Solano College Puente Project
Student Information Sheet
Name:
Solano Student ID #:
Address:
Phone Number: (
)
City:
Zip Code:
Permanent Address
(Address of parent or someone who will always know where you are.)
Name:
Street:
City:
Zip Code:
Relationship:
E-Mail Address:
High School Graduate?
Yes
No
Name of High School:
Year Graduated:
Other Colleges Attended:
College Units Completed:
Please describe your career goal:
Major:
Assessment Scores:
Reading
Math
English
Don’t
Do you plan to transfer to a four-year university?
Yes
No
know
Are you working while attending school?
Yes
No
Please describe why you want to be in the Puente program:
Answer these questions is voluntary. The information will remain confidential and will be used to assist
you in developing an educational plan to meet your academic goals. IMPORTANT: SEE NEXT SIDE.
(Front & Back Must Be Completed - Over Please)
1
Approved by the California Community Colleges Chancellor’s Office: 8/13/96

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