Lake Tahoe Community College - Student Equity Program Application
Student Information
Legal Name (Print name as listed on ID)
Your answer
Preferred Name
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
Home Phone
Your answer
Cell Phone
Your answer
Email Address (You most frequently access)
Your answer
What are the TWO best ways to contact you?
Required
Did you graduate from high school?
Academic Goals
Required
Academic Status
Required
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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