NEW Admissions Application

Admissions Application

Items needed to complete student application
1.		Proof of Graduation (POG) such as a High School Diploma, Transcript or equivalent General Equivalency Diploma (GED)
2.		Proof of Identity including a valid photo ID and Social Security Card
3.		Must be a US Citizen – Need a valid permanent resident card

Contact Info

First name

Last name

Birth Date

Gender

Ethnicity

Residency Status

Social Security Number

Permanent Resident Number

Required if Resident Alien

Permanent Resident # Exp. Date

Required if Resident Alien

Veteran Status

Please check any of the boxes that apply

I am a dependent or spouse of a Veteran

I am a (TOE) Transfer of Entitlement

Program Information

Program of Interest

Why does this program interest you?

Why are you interested in attending courses at Sutter County Career Training Center?

Can you make arrangements to fit the training program into your schedule?

How large of a commitment will you make towards this program?

Do you plan to use the training you receive at Sutter County Career Training Center to gain employment?

How did you hear about Sutter County Career Training Center?

Address

Street

City

State

Zip/Postcode

Cell Phone

Home Phone

State of Legal Residence

Mailing Address

Permanent Street

Permanent City

Permanent State/Province

Permanent Zip Code

Permanent Phone

Employer

Employer Name

Job Title

Work Phone #

How many hours a week do you work?

Emergency Contact Information

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone Number

Emergency Contact Street 1

Street 2

City

State

Zip Code

Academic

What is your highest level of education?

Please answer this question carefully. It is very important.
The answers you provide must match the answers you provide to Financial Aid on the FAFSA and the reports that are run from NSLDS that reflect the colleges you attended in the past – even if you did NOT complete the program(s).
■		If you did NOT attend any college classes AFTER high school, answer High School or GED – depending on what you posses.
■		If you attended any college classes AFTER high school but did NOT complete a degree, answer College and list the colleges you attended and dates attended in the boxes after this question. and list the colleges you attended and dates attended in the boxes after this question.
■		If you attended any college classes AFTER high school and completed a degree, answer Associate Degree, Bachelor Degree, Master’s Degree, etc. and list the colleges you attended, dates attended, and certificates/degrees earned in the boxes after this question.

Highest Level of Education

HS Graduation Date

Have you ever been dismissed from another school, institution or college?

Yes No Not Selected

If yes, please explain why.

High School / GED (Location) Attended

Other Colleges/Training Institutions Attended – AFTER HIGH SCHOOL

Type N/A if not applicable

Other Colleges/Training Institutions Attended – AFTER HIGH SCHOOL

Type N/A if not applicable

Other Colleges Training Institutions Attended – AFTER HIGH SCHOOL

Type N/A if not applicable

Other Colleges Training Institutions Attended – AFTER HIGH SCHOOL

Type N/A if not applicable

Format: List subjects taken, dates attended (MM/YYYY - MM/YYYY), and any certificates/degrees earned for College 1

Type N/A if not applicable

Format: List subjects taken, dates attended (MM/YYYY - MM/YYYY), and any certificates/degrees earned for College 2

Type N/A if not applicable

Disclosures

I understand that in order to be admitted to Sutter County Career Training Center I must have a reasonable prospect of completing the program. I attest that I do not have any existing issues that will prevent me from completing my program of study. I would like to be considered for admission based upon the fact that I believe I will be able to complete the program. If my situation changes prior to enrollment, I will notify Sutter County Career Training Center in writing. If I have issues that I believe will prevent me from completing the program, I understand that I should not enroll in classes at Sutter County Career Training Center until those issues are resolved.

I acknowledge that I have read and agree with the above statement and I attest that the information provided in this application is true and accurate.

I give consent for Sutter County Career Training Center to use automated technology to call and/or text me at the number provided above, including my wireless number if applicable. Call us for information.

Student E-Signature

Today's Date

Parent/Guardian E-Signature

Parent/Guardian Date

Admissions Application

Items needed to complete student application

Contact Info

Program Information

Address

Mailing Address

Employer

Emergency Contact Information

Academic

Disclosures