Community Based College Bound San Diego County/Triangle Area Registration
SCHOLAR SECTION
New or Returning Scholar to the program
Student School ID#
Your answer
Student Last Name *
Your answer
Student First Name *
Your answer
Gender *
District *
Your answer
School *
Your answer
Grade *
Student Email
Your answer
Student Cell
Format (xxx)xxx-xxxx
Your answer
Street Address
Your answer
City, State, Zip
Your answer
T-Shirt Size *
Student Ethnicity
Check all that apply
American Indian
Asian
Black/African American
Caucasian
Filipino
Hispanic
Decline to State
GPA Previous School Year
Your answer
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