Enrollment Information

Term Spring 2020

Educational Goal Educational development

Major/Program area of study AA-T-Art History-ADT

Account Information

OpenCCC Account

Name Jerome Locke

Permanent Address 551 Canis Heights Drive

Los Angeles, CA 90013

Previous Name

Preferred Name

Main Phone (213) 631-7221

Ext:

Second Phone Ext:

Email siteoneshot@gmail.com

Social Security Number Not Provided

Date of Birth July 23, 1993

Mailing Address

Same as My Account No

551 Canis Heights Drive

Los Angeles, CA 90013

Education

Enrollment Status as of 01/12/2020 First-time student in college (after leaving high school)

High School Education Level as of Not a graduate of, and no longer enrolled in high school

Neither Received a diploma or certificate of completion in California

Neither Attended high school in California for three or more years

Grade Point Average

Highest English Course Taken

Highest English Course Grade

Highest Math Course Taken

Highest Math Taken Grade

Citizenship/Military

Citizenship Status U.S. Citizen

Military Status as of 01/12/2020 None apply to me

Residency
Yes Lived in California Continuously since 01/12/2018

No Since 01/12/2018 declared residency in another state for state income tax purposes

No Since 01/12/2018 voted or registered to vote in another state

No Since 01/12/2018 declared residency at an out-of-state college or university

No Since 01/12/2018 petitioned for a lawsuit or a divorce as a resident in another state

No Have you ever been in court-ordered foster care?

Needs and Interests

Yes Comfortable reading and writing English

Yes Would like information about money for college

No Receive TANF/CalWORKs, SSI, or General Assistance

Programs and services in which you are interested

No Academic Counseling/Advising

Yes, but not intercollegiate Athletics/Intercollegiate Sports

No Basic Skills (reading, writing, math)

No CalWorks

Yes Career Planning

No Child Care

No Counseling - Personal

No DSPS - Disabled Student Programs and Services

No EOPS - Extended Opportunity Programs and Services

No ESL - English as a Second Language

No Health Services

No Housing Information

No Employment Assistance

No Online Classes

Yes Re-entry Program (after 5 years out)

No Scholarship Information

No Student Government

No Testing, Assessment, Orientation

No Transfer Services

No Tutoring Services

No Veterans Services

Demographic Information

Gender Male

Parent/Guardian Education Levels 1: Some high school; did not graduate

 2: Some high school; did not graduate

Hispanic/Latino No

Race Asian
Chinese

Supplemental Questions

No Are you a recipient of CalWORKs, Temporary Assistance for Needy Families (TANF), or Aid to Families with
Dependent Children (AFDC)?

No Are you a recipient of Supplemental Security Income (SSI)?

No Are you a recipient of General Assistance or General Relief?

No Are you a recipient of Cal Fresh, food stamps, or the Supplemental Nutrition Assistance Program (SNAP)?

No Are you otherwise economically disadvantaged?

No Are you a single parent?

No Are you a displaced homemaker?

No Do you possess attitudes, beliefs, customs, or practices that serve as a hindrance to employment?

No If you are unemployed, have you been looking for work for 27 weeks or more?

Neither Are you an ex-offender?

No Are you or your parent/guardian employed on U.S. National Forest property within Tulare County: or,
working in U.S. National Forest Service Facilities outside the National Forest but still within Tulare County
boundaries?

No Do you reside on U.S. National Forest land; or property leased from the U.S. Forest Service; or privately
owned land (enclosed within the boundaries of the U.S. National Forest within Tulare County); or privately
owned land within one mile of the boundaries of the U.S. National Forest?

Emergency Contact (required)

First Name Jerome

Last Name Locke

Area Code 21

Phone 213631

Extension

Address Line 1 551 Canis Heights Drive

Address Line 2

City Los Angeles

Zip 90013

Their relationship to you: Mother

State California

Country

The following question will help us place you in the most appropriate Math class.

If you are taking a math class currently, Geometry

which class is it?