Social Security Application Paper

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EAST LOS ANGELES COLLEGE ADMISSIONS APPLICATION 1. (a.) Social Security Number (*): 2. Semester: 3. (a.) Legal Name: Last First Middle Initial (b.) List other names you have used. If none, check box: Suffix: Jr./Sr. 4. Birth Date: Students are required by law to provide their Social Security Number, which will be used for reporting to the federal government under the Taxpayer Relief Act of 1997 and for financial aid verification. If you do not have a Social Security Number, or if you do not wish to use it, please leave blank. Winter Spring Summer Fall Year: / / Month/Day/Year Age: 5. Gender:  Female  Last First Middle Initial Suffix: Jr./Sr. Male (b.) Student Identification Number (SIN): 6. Legal Address/Residence (Do NOT Use P.O. Box or Business Address): I have lived at this address since: Month Day Year (If you have lived at this address fewer than two years please answer question #7.) 9. Contact Information: Male Primary Phone: 8 8 The Social Security Number will no longer be used as primary student identifier for students per Civil Code 1798.85. The College will generate an identification number for each student who is new to the LACCD. Leave blank if you have not been assigned a SIN by the college and/or district. ( Email: Number Street/Apt # City State Zip Code ) 7. If you have…show more content…
Special Services (*): The Los Angeles Community College District is committed to increasing your educational success. Each area listed provides special services. Please indicate those services that interest you. 1.  Financial Aid 6.  Information regarding special services and/or accommodations for 2.  Child Care students with disabilities may be obtained from the Disabled 3.  Tutoring Student Programs and Services (DSPS) Office. 4.  Transfer Assistance 7.  Are you from a low income family and in need of special counseling, 5.  Employment Assistance tutoring, and/or financial aid assistance?  Yes 

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