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South Florida Community College

 

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Information Thank you for your interest in South Florida Community College.

To help us serve you better, please provide as much information as possible. The information that you enter on this form will be treated with the strictest confidentiality, and will not be provided to any other entities or businesses.

The information that you are providing is so that we may furnish you with more information about South Florida Community College, and is NOT an application for admission to SFCC.

Required - indicates a required field.
Information Please provide your full legal name.

Name
Prefix:
First Name: Required
Middle Name:
Last Name: Required
Suffix:
Nickname:

Information Please provide your current mailing address and phone number where you can be reached.

Primary Address
Valid From: Month Day Year (YYYY)
Until: Month Day Year (YYYY)
Address Line 1:Required
Address Line 2:
Address Line 3:
City:Required
State or Province:
ZIP or Postal Code:
County:
Nation:
Phone Number: - (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:

Information This is sample information text for the ADDRESS2 section. Modify or delete this text by choosing the Customize a Set of Information Text option on the Web Tailor Administration menu and selecting the hwskwpro.P_WebProspectMain procedure.

Secondary Address
Valid From: Month Day Year (YYYY)
Until: Month Day Year (YYYY)
Address Line 1:
Address Line 2:
Address Line 3:
City:
State or Province:
ZIP or Postal Code:
County:
Nation:
Phone Number: - (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:

Information Please provide your e-mail address (address@isp.com)

E-Mail Address
E-mail Address:Required
Verify E-mail Address:Required

Birthdate
Date of Birth:Required Month Day Year (YYYY)

Information This is sample information text for the CITIZENSHP section. Modify or delete this text by choosing the Customize a Set of Information Text option on the Web Tailor Administration menu and selecting the hwskwpro.P_WebProspectMain procedure.

Citizenship
Citizenship:

Information This is sample information text for the GENDER section. Modify or delete this text by choosing the Customize a Set of Information Text option on the Web Tailor Administration menu and selecting the hwskwpro.P_WebProspectMain procedure.

Gender
Gender: Male Female Not Specified

Information This is sample information text for the ETHNICITY section. Modify or delete this text by choosing the Customize a Set of Information Text option on the Web Tailor Administration menu and selecting the hwskwpro.P_WebProspectMain procedure.

Ethnicity/Race
Ethnicity:

Note What is your ethnicity?

Hispanic or Latino
Not Hispanic or Latino

Note Select one or more races to indicate what you consider yourself to be.

American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Information This is sample information text for the SSNTINTFN section. Modify or delete this text by choosing the Customize a Set of Information Text option on the Web Tailor Administration menu and selecting the hwskwpro.P_WebProspectMain procedure.

Prospect SSN/TIN/TFN
U.S. Social Security Number: (999999999 or 999-99-9999)

Information This is sample information text for the INTERNATNL section. Modify or delete this text by choosing the Customize a Set of Information Text option on the Web Tailor Administration menu and selecting the hwskwpro.P_WebProspectMain procedure.

International Info
Nation of Citizenship:
Nation of Birth:
Native Language:
Foreign SSN:

Visa Information
Visa Type:
Visa Number:
Issue Date: Month Day Year (YYYY)
Expiration Date: Month Day Year (YYYY)

Information Please provide the information for the high school that you graduated (or will graduate) from. You can click on the "Look Up High School Code" button to find your high school information, or you can type in the information. If you did not graduate from a high school, enter the appropriate code for the GED you earned. If applicable, use your GED completion date. If you are not sure of the day of your graduation or GED completion, use the first day of the appropriate month. (Example July 01, 2006).

High School
Home Schooled (check for yes):
OR
High School Code:
High School Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
State or Province:
ZIP or Postal Code:
Nation:
Graduation Date: Month Day Year (YYYY)
Class Rank and Size: / (must be numeric)
GPA: (example: 9.99, or A+)

Information Please tell us how you heard about South Florida Community College.

How You Learned About Us
How I Learned About South Florida Community College:

Information Please tell us when you would like to start attending classes at SFCC.

Entry Term
Term of Entry:Required

Information Please let us know what area of study you are most interested in.

Major
Major:Required

Information Please choose the item in the list that best describes you.

Student Type
Student Type:

Information Please provide as much information about the last college that you attended. You can look up college information by clicking the "Look Up College Code" or you can type in the information yourself.

Prior College
College Code:
Prior College Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
State or Province:
ZIP or Postal Code:
Nation:
Attended From:
Attended To:
Graduation Date: Month Day Year (YYYY)
GPA: (example: 9.99)
Degree:

Information Please select the areas that you are most interested in. To select multiple materials use Ctrl+Click for PC and Command+Click for Mac.

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