Lake Tahoe Community College - Student Equity Program Application
Student Information
Legal Name (Print name as listed on ID) *
Your answer
Student ID # *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Required
Mailing Address (P.O. Box or Street Address, please include city, state and zip code) *
Your answer
Email Address (You most frequently access) *
Your answer
Home Phone
Your answer
Cell Phone
Your answer
What are the TWO best ways to contact you? *
Required
Academic Goals *
Required
Academic Status *
Required
Did you graduate from high school? *
Did your parents graduate from a 4-year college? *
Are you a eligible or already a recipient of the Enrollment Fee Waiver (BOG-FW)? *
DEPENDENT STUDENT - Report the previous year's TOTAL income
(Total income- Include adjusted gross income reported on 2015 U.S. income tax return and ALL money received for parents and yourself, if applicable)
Your answer
INDEPENDENT STUDENT - Report the previous year's TOTAL income
(Total income- Include adjusted gross income reported on 2015 U.S. income tax return and ALL money received for yourself and spouse/register domestic partner, if applicable)
Your answer
How many family members live in your household? *
Include yourself.
Your answer
Marital and Family Status *
Do you have a documented disability of any kind? *
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