MERRITT COLLEGE EXTENDED OPPORTUNITY PROGRAMS AND SERVICES (EOPS)
COOPERATIVE AGENCIES RESOURCES FOR EDUCATION (CARE)
EOPS APPLICATION
BUILDING R-109
Email address *
PERSONAL DATA
Last Name *
First Name *
Middle Name (only if applicable)
Address (ex: 1234 one lane road Oakland, CA 94601) *
Zip Code *
Date of Birth *
MM
/
DD
/
YYYY
Student I.D *
Sex *
Telephone # (DO NOT USE DASHES) *
Cellphone # (DO NOT USE DASHES)
Martial Status *
Ethnic Background *
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