Community Enrichment & Enhancement Partnership Award Application

PLEASE NOTE: All fields marked with an asterisk are required. You have the right to inspect, amend and/or correct all information on this form by contacting the Student Success Programs office in person or in writing. The information on this form is not available for public inspection, and will not be shared with anyone outside Student Success Programs, with the exception of the University’s Office of Financial Aid.

For questions, please e-mail .
A. STUDENT STATUS


B. PERSONAL INFORMATION





4. Permanent address








If yes, what institution?



C. STUDENT DATA

2. FOR INCOMING FRESHMEN ONLY













3. FOR ENTERING TRANSFERS ONLY





D. EMPLOYMENT


E. FINANCIAL AID

F. SCHOOL AND COMMUNITY INVOLVEMENT


G. ADDITIONAL INFORMATION



H. CERTIFICATION
I certify that the information I have submitted on this application is accurate, true, and complete.