Puente Project Student Information Sheet
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2Puente Project Student Information Sheet
Student Information
Name:
Student ID Number:
Address:
Phone Number:
City:
Zip Code:
E-Mail Address:
Educational Background
High School Graduate?
Yes
No
Year Graduated:
Name of High School:
Any other college(s) attended?
Number of units completed:
Assessment Placement
English:
Reading:
Math:
Financial Aid/Work Information
Are you eligible for financial aid?
Will you be working while attending
school?
Yes
No
Unsure
Yes
No
Unsure
Are you planning on being a full-time student in
Number of work hours:
Fall2015/Spring2016?
AB540/Dreamer student?
Yes
No
Unsure
Yes
No
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