SP16 EOPS Prospective Student
Please complete this form if you are interested in becoming apart of the El Camino College, Extended Opportunity Programs and Services, Student Support Services Program.
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First Name *
Type your first name (i.e. Nancy)
Last Name *
Type your last name (i.e. Johnson)
ECC Student ID Number *
Type your ECC Student ID# (Use # (sign),i.e. #0158864
Phone Number *
Type your phone number (i.e. 310-996-4663). PLEASE MAKE SURE THE NUMBER IS CORRECT.
ECC Email Address *
Type your ECC email address (i.e. sara_jones135@elcamino.edu). PLEASE MAKE SURE THE EMAIL ADDRESS IS CORRECT.
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