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Admitted Students Questionnaire
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Admitted Students Questionnaire
Admitted Students Questionnaire
Name
*
First
Middle
Middle
Last
Last
Date of Birth
*
Most used email address
*
Are you a(n)
*
American Citizen
Dual Citizen
Resident Alien (green card)
None of the above
Ethnic Background (check all that apply)
*
American Indian/Alaska Native
Asian
Black/African American
Hispanic
Native Hawaiian/Pacific Islander
White
Did either of your parents have a B.A. or a B.S.(4 year college degree) before you were 18 years old?
*
Yes
No
Do YOU already have a college diploma /certificate or degree?
*
Yes
No
If yes, do you have a 2 year or a 4 year degree?
*
2 year degree
4 year degree
Do you have a disability or a chronic medical condition?
*
Yes
No
If yes, please identify (learning, psychological, and physical disabilities, including medical conditions)
*
Have you provided documentation of your disability to the Director of Student Support Services?
*
Yes
No
Have you applied for financial aid?
*
Yes
No
Do you anticipate taking advantage of our FREE one-on-one, small group, walk-in, or drop-in tutoring?
*
Yes
No
Have you ever been a participant in: (check all that apply)
ASPIRE
Vocational Rehabilitation
ABE to College Transitions
Have you ever been a participant in any of these TRiO programs? (check all that apply)
Upward bound
Talent Search
Maine Educational Opportunity Center
reCAPTCHA
If you are human, leave this field blank.
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