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  • CCCApplicationFinal DiabloValleyCollege

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    Beg Beng
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    Catur Andros Sigit submitted an application on May 12, 2022 for the Summer 2022 term at Diablo Valley College with an educational goal of discovering career interests and a planned major in Information and Communication Technology. As a first-time student who is homeless and without a permanent address, their high school equivalency certificate was obtained in California in 2020. They are interested in ESL, academic advising and have consented to the release of personal information.

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    CCCApplicationFinal-DiabloValleyCollege

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    Catur Andros Sigit submitted an application on May 12, 2022 for the Summer 2022 term at Diablo Valley College with an educational goal of discovering career interests and a planned major in Information and Communication Technology. As a first-time student who is homeless and without a permanent address, their high school equivalency certificate was obtained in California in 2020. They are interested in ESL, academic advising and have consented to the release of personal information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    7 views2 pages

    CCCApplicationFinal DiabloValleyCollege

    Uploaded by

    Beg Beng
    Catur Andros Sigit submitted an application on May 12, 2022 for the Summer 2022 term at Diablo Valley College with an educational goal of discovering career interests and a planned major in Information and Communication Technology. As a first-time student who is homeless and without a permanent address, their high school equivalency certificate was obtained in California in 2020. They are interested in ESL, academic advising and have consented to the release of personal information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Submission Information

    Your application was submitted onMay 12, 2022 00:18

    Confirmation Number23693525

    Enrollment Information

    TermSummer 2022

    Educational GoalDiscover/formulate career interests, plans, goals

    Major/Program area of studyDVC - Information and Communication Tech (AS)

    Account Information

    OpenCCC Account

    NameCatur Andros Sigit

    Permanent AddressNo permanent address (homeless)

    Previous Name

    Preferred NameAndros

    Main Phone085891371723

    Phone Type

    Emailputramaulanairsadi8@gmail .com

    Preferred Method of Contact:

    Social Security NumberNot Provided

    Date of BirthAugust 11, 2001

    Mailing Address

    No current mailing address (homeless)

    Education

    Enrollment Status as of June 12, 2022First-time student in college (after leaving high school)

    High School Education Level as of June 12, 2022Passed a high school equivalency test and received a certificate of high school equivalency

    High School Completion DateMay 02, 2020

    NoReceived a diploma or certificate of completion in California

    YesAttended high school in California for three or more years

    High School or HomeschoolManba'ul Ulum, Mojokerto, , ID

    Citizenship/Military

    Citizenship StatusOther

    Visa InformationNo Documents


    IssueExpireNone

    Military Status as of June 12, 2022None apply to me


    Needs and Interests

    YesComfortable reading and writing English

    NeitherWould like information about money for college

    NoReceive TANF/CalWORKs, SSI, or General Assistance

    Programs and services in which you are interested

    YesAcademic Counseling/Advising

    Yes, but not intercollegiateAthletics/Intercollegiate Sports

    NoBasic Skills (reading, writing, math)

    NoCalWorks

    NoCareer Planning

    NoChild Care

    NoCounseling - Personal

    NoDSPS - Disabled Student Programs and Services

    NoEOPS - Extended Opportunity Programs and Services

    YesESL - English as a Second Language

    NoHealth Services

    NoHousing Information

    NoEmployment Assistance

    NoOnline Classes

    NoRe-entry Program (after 5 years out)

    NoScholarship Information

    NoStudent Government

    NoTesting, Assessment, Orientation

    NoTransfer Services

    NoTutoring Services

    NoVeterans Services

    Demographic Information

    GenderMale

    Parent/Guardian
    1: High school Education Levels
    graduate (diploma, GED, or equivalent)
    2: Bachelor's degree (for example: BA, BS)

    Hispanic/LatinoNo

    RaceAsian
    Indonesian

    Consent

    YesI authorize the Chancellor's Office, California Community Colleges, and the community colleges I am attending to release personal information
    contained in my education records, including my Social Security Number, for the purposes described in the Full Statement of Consent.

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