If you are human, leave this field blank.College and TermCollege *San Diego City CollegeSan Diego Mesa CollegeSan Diego Miramar CollegeSemester *Fall 2017Spring 2018Summer 2018Program of Study *3ACCYTAGES - Accountancy3AJCSSPGES - ADJU - Court Support3AJCTECGES - ADJU - Correctional Tech3AJINVEGES - ADJU - Investigations3AJLENFGES - ADJU - Law Enforcement3AJPTECGES - ADJU - Contemp Police Tech3AMTAIRGES - AVIM - Airframe3AMTAPLGES - AVIM - Airframe & Powerplant3AMTGENGES - AVIM - Aviation Gen Studies3AMTPPLGES - AVIM - Powerplant3AOMGPTGES - AVIA - Management/pilot3AOMGTMGES - AVIA - Management3AOPLTLGES - AVIA - Pilot3AOPPILGES - AVIA - Professional Pilot3ARTCDPGEA - Art-Fine Art - Comb Draw/Paint3ARTCRFGEA - Art-Fine Art - Craft Skills3ARTSTDGEA - Art/Visual Studies3ARTSTUGEA - Art-Fine Art - Studio Arts3AUTOGYGES - Automotive Technology3AVIABAGES - Aviation Business Admin3AVIAPAGES - Professional Aeronautics3BANKINGES - Bus Mgt-Mortgage Broker & Bank3BIOAPPGES - Biology-Applied Biology3BIOAPTGES - Biology-Applied Biology3BIOHLTGES - Biology - Allied Health3BIOLSTGES - Biology Studies3BUSADMGES - Business Administration3BUSMGTGES - Business Management3CBTAASGES - CBT-Administrative Assistant3CBTADSGES - CBT-Administrative Assistant3CBTMAPGES - CBT-Microcomputer Applications3CBTMCAGES - CBT-Microcomputer Applications3CDSSUPGES - Child Dev - Site Supervisor3CHEMSTGES - Chemistry Studies3CHILDVGES - Child Development3CISCIEGES - Computer & Info Sciences3COMMSTGEA - Communication Studies3DTHDTTGES - DIES - Heavy Duty Tran Tech3DTHETYGES - DIES - Heavy Equipment Tech3EARTHSGES - Earth Science Studies3ELEMEDGEA - Elementary Education3ENGCTYGEA - English3ENGLISGEA - English3FTADMIGES - FIPT - Fire administration3FTDROPGES - FIPT - Driver Operator3FTLFGPGES - FIPT - O/W Lifeguard Prof3FTOFCRGES - FIPT - Fire Officer Cert3FTPROTGES - FIPT - Fire Protection3FTPRVNGES - FIPT - Fire Prevention3FTRESUGES - FIPT - Rescue3FTTECHGES - FIPT - Fire Technology3GRAPHSGEA - Graphics3HDEVSTGEA - Human Development Studies3HLPESTGES - Health & Physical Educ Studies3HUMASTGEA - Humanities Studies3LART-1GEA - Liberal Arts-Option I3LART3CGEA - Lib Arts-Opt III (IGETC CSU)3LART3UGEA - Lib Arts-Opt III (IGETC UC)3LARTIIGEA - Liberal Arts-Option II3LEGLASGES - Legal Assistant3LITESTGEA - English/Literature Studies3MATHSTGEA - Mathematics studies3MILISTGES - Military Leadership3MLTTECGES - Medical Laboratory Technology3MUSISTGEA - Music Studies3OTECSTGES - Occupational/Technical Studies3PARALEGES - Paralegal3PENSTDGES - Pre-Engineering Studies3PHYSTDGES - Physics Studies3PILOTPGES - AVIM - Private Pilot Studies3PILOTSGES - AVIM - Pilot Studies3PSYCGYGEA - Psychology3SBESCIGEA - Social & Behavioral Sciences3SDCCSEGES - SD City Civ Ser-Equip Mech App3SDTGENGES - SD Transit-Gen Mechanic App3SLCTSTGEA - Selected Studies3TRFCS6GEA - Transfer Studies - CSU3TRFIC6GEA - Transfer Studies - IGETC CSU3TRFIU6GEA - Transfer Studies - IGETC UC3TRFOT6GEA - Transfer Studies - Other3TRFTA6GEA - Transfer Studies - TAG3WLANGSGEA - World Language StudiesGE2_CSUGE - Transfer to 4Yr UnknownHIGHSCHOOL - High SchoolGE2_CSUGE - Undeclared (Not Eligible for Financial Aid)Educational Goal *A - Obtain an associate degree and transfer to a 4-year institutionTransfer to a 4-year institutions without an associate degreeObtain a 2-year associate degree without transferEarn a career technical certificate without transferDiscover/formulate career interests, plans, goalsPrepare for a new career (acquire job skills)Advance in current job/career (update job skills)Maintain certificate or licenseEducational developmentImprove basic skillsComplete credits for high school diploma or GEDMove from noncredit coursework to credit coursework4 year college student taking courses to meet 4 year college requirementsUndecided on goal Student InformationLast Name *First Name *Middle NameSuffixJrSrIIIIIIIVPrevious NameOther Last NameOther First NameOther MiddlePermanent Address *Apt, suite, etc.CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)American SamoaGuamNorthern Mariana IslandsPuerto RicoUS Minor Outlying IslandsUS Virgin IslandsZip codeMailing same as Permanent?YesMailing AddressApt, suite, etc.CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)American SamoaGuamNorthern Mariana IslandsPuerto RicoUS Minor Outlying IslandsUS Virgin IslandsZip codeMain PhoneText AuthorizationYesSecondary PhoneText AuthorizationYesEmail *SSN/ITINTypeSSNITINBirth Date *GenderMaleFemaleMartial StatusSingleMarriedDeclined to StateDependent StatusDependentIndependentParent/Guardian 1 EducationSome High SchoolHigh School/GEDSome CollegeAssociate's DegreeBachelor's DegreeMaster's DegreeDoctoral DegreeProfessional DegreeParent/Guardian 2 EducationSome High SchoolHigh School/GEDSome CollegeAssociate's DegreeBachelor's DegreeMaster's DegreeDoctoral DegreeProfessional DegreeHispanicHispanicNot HispanicDecline to StateEthnicityAsian: IndianAsian: ChineseAsian: JapaneseAsian: KoreanAsian: LaotianAsian: CambodianAsian: VietnameseAsian: FilipinoAsian: OtherBlack of African AmericanAmerican Indian/Alaskan NativePacific Islander: GuamanianPacific Islander: HawaiianPacific Islander: SamoanPacific Islander: OtherWhiteMexican, Mexican-American, ChicanoCentral AmericanSouth AmericanHispanic: Other Education InformationEnrollment Status *First-time student in college (after leaving high school)First time at this college; have attended another collegeReturning student to this college after absent for a main termEnrolling in high school (or lower grade) and college at the same timeHigh School Education LevelNot a graduate of, and no longer enrolled in high schoolWill be enrolled in high school (or lower grade) and college at the same timeCurrently enrolled in adult schoolReceived high school diploma from U.S. schoolPassed a high school equivalency test and received a certificate of high school equivalencyReceived a Certificate of California High School ProficiencyReceived a diploma/certificate of graduation from a Foreign secondary schoolHigh School Completion DateHighest Education LevelSome High SchoolHigh School/GEDSome CollegeAssociate's DegreeBachelor's DegreeMaster's DegreeDoctoral DegreeProfessional DegreeLast High School AttendedBonita VistaCastle ParkChula VistaClairemontCoronadoCrawfordGarfieldGompersGranite HillsGrossmont HighHelixHenryHilltopHooverKearnyLa JollaLincolnMadisonMar VistaMira MesaMission BayMonte VistaMontgomeryMorseMount MiguelMt. CarmelPoint LomaPowayRancho BernardoSan Diego HighScripps RanchSDC&PASerraSouthwestSweetwaterUniversity CityHealth Science High & Middle CollegeCanyon Crest AcademyCharter School of San DiegoHigh Tech HighHigh Tech High Int'lHigh Tech High Media ArtSan YsidroWest ViewMonarchOlympianOtay RanchEastlakePruessDel Norte HighS.D. Continuing Education CenterForeign HSOut of State HSOtherOther California H.S. NameGraduated from CA High SchoolYesNoAttended HS in CA for 3 YearsYesNoNumber of Colleges AttendedNone1234Expelled from College?Yes College 1College NameCal State San MarcosChapmanCuyamacaGrossmontMira CostaNational UniversityPalomarPoint LomaSDSUSDSU ExtensionSouthwesternUCSDUCSD ExtensionUSDUSIUAlliant Int'lOtherOther College NameStart DateEnd DateExpelled?YesDegree ObtainedNo DegreeAssociate DegreeBachelor Degree or HigherCertficiateDate Conferred College 2College NameCal State San MarcosChapmanCuyamacaGrossmontMira CostaNational UniversityPalomarPoint LomaSDSUSDSU ExtensionSouthwesternUCSDUCSD ExtensionUSDUSIUAlliant Int'lOtherOther College NameStart DateEnd DateExpelled?YesDegree ObtainedNo DegreeAssociate DegreeBachelor Degree or HigherCertficiateDate Conferred College 3College NameCal State San MarcosChapmanCuyamacaGrossmontMira CostaNational UniversityPalomarPoint LomaSDSUSDSU ExtensionSouthwesternUCSDUCSD ExtensionUSDUSIUAlliant Int'lOtherOther College NameStart DateEnd DateExpelled?Degree ObtainedDate Conferred College 4College NameCal State San MarcosChapmanCuyamacaGrossmontMira CostaNational UniversityPalomarPoint LomaSDSUSDSU ExtensionSouthwesternUCSDUCSD ExtensionUSDUSIUAlliant Int'lOtherOther College NameStart DateEnd DateExpelled?Degree ObtainedDate Conferred Citizenship/Visa InformationCitizenship Status *US CitizenPermanent ResidentTemporary Resident / AmnestyRefugee / AsyleeOther Visa/Permit InformationAlien Registration NumberExpiration DateIssue DateNo DocumentsYesNo Expiration DateNo Expiration Date Military/VeteranMilitary StatusNone ApplyCurrently serving on active dutyParent/guardian/spouse is currently serving on active dutyServed in the US military (veteran)Parent/guardian/spouse served in US militaryMember of the Active ReserveParent/guardian/spouse is member of Active reserveMember of National GuardParent/guardian/spouse is member of National Guard Military/Veteran InformationDischarge DateDischarge TypeHonorableEntry Level Separation (ELS)GeneralOther Than Honorable (OTH)Clemency DischargeBad Conduct (BCD)DishonorableMilitary Legal ResidenceAKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMHMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPAPRPWRISCSDTNTXUTVAVIVTWAWIWVWYMilitary Home StateAKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMHMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPAPRPWRISCSDTNTXUTVAVIVTWAWIWVWYMilitary Home CountryUnited States (US)United Kingdom (UK)CanadaAustraliaAfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweStationed in CA?YesNoStationed in CA for Education?YesNoBranch of ServiceNo or Decline to StateNot Active Duty - VeteranAir ForceArmyCoast GuardMarinesNavyOther Residency InformationCalifornia Resident for at least 2 Years?YesNoDate Current Stay BeginNot Yet Arrived in CAYesCA College Employee?YesNoCA School EmployeeYesNoSeasonal Ag WorkerYesNoFoster Youth?YesNoFoster Youth StatusCurrently in foster careAged out of foster careExited out before 18Not sure of age of exitOutside State TaxesYesNoYearVoted Outside CA?YesNoYearOutside College?YesNoYearOutside LawsuitYesNoYearComfortable with English?YesNoAthletic Interest?YesNoFinancial Assistance?YesNoTANF/SSI?YesNoSubmit