Enrollment Information

Term Summer 2020

Educational Goal Earn a career technical certificate without transfer

Major/Program area of study AA HUMAN DEVELOPMENT/HUMAN SERVICES

Account Information

OpenCCC Account

Name Gregory M Banda

Permanent Address 3924 Hardman Road

Brattleboro, VT 05301
United States of America (the)

Previous Name

Preferred Name

Main Phone (802) 768-5838

Ext:

Second Phone (802) 579-7233

Ext:

Email eqtbbemo@besttempmail.com

Social Security Number ***-**-****

Date of Birth August 2, 2000

Mailing Address

Same as My Account Yes

Education

Enrollment Status as of June 14, 2020 First-time student in college (after leaving high school)

High School Education Level as of Received high school diploma from U.S. school

High School Completion Date January 20, 2019

Yes Received a diploma or certificate of completion in California

No Attended high school in California for three or more years

High School or Homeschool Alabama Christian Academy, Montgomery, AL, US

Grade Point Average 3.40

Highest English Course Taken 11th grade English Composition or Literature

Highest English Course Grade B+

Highest Math Course Taken Integrated Math 4

Highest Math Taken Grade B+

Citizenship/Military

Citizenship Status U.S. Citizen

Military Status as of June 14, 2020 My parent/guardian/spouse is currently serving on active duty

State Legal Residence CO

Home of Record DE

Stationed in California Yes

Stationed in California for education Yes

Residency

Yes Lived in California Continuously since June 14, 2018

Yes Since June 14, 2018 declared residency in another state for income tax purposes
When: 2019

No Since June 14, 2018 voted or registered to vote in another state

No Since June 14, 2018 declared residency at an out-of-state college or university

No Since June 14, 2018 petitioned for a lawsuit or a divorce as a resident in another state

Yes Full-time employee, or a spouse or dependent of a full-time employee of a California college or university

No Full-time credentialed employee of a California public school enrolling in college for purposes of fulfilling
credential-related requirements

Yes Employed as a seasonal agricultural for at least a total of two months of each of the past two years

No At any time in the last 24 months have you been determined to be homeless?

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

Yes Receive TANF/CalWORKs, SSI, or General Assistance

Programs and services in which you are interested

No Academic Counseling/Advising

Yes, including intercollegiate Athletics/Intercollegiate Sports

Yes Basic Skills (reading, writing, math)

No CalWorks

No 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
 No 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: High school graduate (diploma, GED, or equivalent)

2: Associate's degree (for example: AA, AS)

Hispanic/Latino No

Race
American Indian or Alaska Native
Blue Lake Rancheria

White
European

Supplemental Questions

Income Information (Answers are kept confidential)

What was your parents(guardians) gross $40,000 - $59,999

income prior to taxes and deduction for the
prior calendar year:

What was your gross income prior to taxes Less than $20,000
and deductions for the prior calendar year:

Are you interested in pursuing a Teacher Pathway:

Yes Early Childhood Teaching (Infant/toddler through Pre-K)

Neither Elementary School-Multiple Subject Teaching Credential (K-6th Grades)

Neither Middle/High School-Single Subject Teaching Credential (7th through 12th Grades)

Neither Special Education Teaching Credential (K-12th Grades)

Neither Career Technical Education (CTE) Teaching Credential (K-12 Grades & Adult)

Neither I want to Teach but am still deciding on level and subject area

Neither I'm not interested in pursuing a Teacher Pathway