APPLICATION FOR ADMISSION SUMMARY

PERSONAL INFORMATION Application Tracking #: 4932375

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Applicant Name: Laura Parra

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Previous Name(s):

Mailing Address: 3350 49th Avenue East

Bradenton Florida 34203

Date of Birth: 11-18-1981

Ethnicity: Hispanic

Email Address: laura.parraf@gmail.com

Gender: Female

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Are you a US Citizen or Permanent Resident Alien (Green card holder)? Green Card Holder

Home Phone: (305) 407-5423 Cell Phone:

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Emergency Contact Name: Salazar John Relationship to Student: Husband

Emergency Contact Phone: (352) 877-1387

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DEGREE PLAN & EDUCATIONAL BACKGROUND

For what term are you seeking admission? Spring 2020 Student Type: First Time in College Student
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What is your degree plan? I do not plan to earn an A.A. or A.S. degree at SCF
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Please select which SCF Campus you prefer to attend classes: Bradenton

Do you or will you have a standard High School Diploma or State Issued GED by the start of the term for which you are applying? Y

High School name or GED: High School graduation or GED issue date: 11/1998

College/University name(s) listed as attended:

 SCF Application for Admission, continued

RESIDENCY CLASSIFICATION

Are you a Florida resident for tuition purposes? Y

Please note: All applicants will be classified as a Non-Florida Resident for tuition purposes until all residency documentation has been received and
approved by the Admissions Office.

EDUCATIONAL/CRIMINAL BACKGROUND

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Have you ever been suspended, expelled, or required to withdraw from any high school, college or university for any reason other than
academic reasons?

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Have you ever pled guilty, or were found to be guilty by a judge or jury, or had adjudication withheld to charges that you committed a
crime other than minor traffic offenses, or have any open/pending cases? This includes 1) a plea of 'no contest' and 'nolo contendre'; 2)
juvenile offenses; or 3) any convictions that you are currently appealing.
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TERMS OF AGREEMENT & APPLICANT SIGNATURE

I understand that this application is for admission to State College of Florida, Manatee-Sarasota and is for the term indicated. I also understand and
agree that I will be bound by the College’s regulations concerning application deadlines and admissions requirements. I understand that withholding
information requested on this application, including attendance at any other colleges, or giving false information of any kind may make me ineligible
for admission or subject to dismissal.

I have read this application and certify that the statements I have made on this application are correct and complete, including a report of all college
work attempted or completed. Failure to fully disclose information in response to all questions on this application may result in immediate denial of
admission and/or expulsion/suspension from a course, program, or the College.

I understand that upon completion of this application, I will be classified as a Non-Florida Resident for tuition purposes until all documentation has
been provided to and approved by the Admissions Office.

Applicant Signature: Submission Date:

Residency Documents Upload 1 Laura Parra
4932375

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