First Name:
Last Name:
El Camino College Student ID #:
Best Contact Phone Number:
Email:
How many will be attending (including yourself):
I. BACKGROUND
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?
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:
II. GOALS
Major:
Educational Goal(s): (check all that apply to you)
Certificate
AA/AS Degree
Transfer
Other
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
I release the use of event photographs for publicity purposes: Yes
Student Signature(type in your name in the box provided):
