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JAG College Success
JAG College Success Online Application
JAG College Success Online Application
Saturday, July 27, 2024
First Name:
Middle Name:
Last Name:
High School Addended:
Last Four of Social Security Number:
Home Address:
Phone Number:
Alternate Number:
Personal E-mail:
Date of Birth:
Gender:
Age:
Race:
Citizenship:
Do you have a and/or anticipate on having a high-school diploma, GED, bachelor's or associate degree?
Yes
No
What is your parent's highest level of education completed?
High School
Diploma
GED
Associate Degree
Bachelor's Degree
Master's Degree
Doctorate Degree
Unsure
What is your dependency status? (Check all that apply)
17 Years or older
Single
Currently married/separated
Have children or have dependents who receive more than half their support from me
US Armed Forces active duty or veteran
Emancipated minor or in legal guardianship
Unaccompanied/homeless youth
At any age since 13, were both your parents deceased, were you in foster care or were you a dependent or ward of the court?
Number of Family Members in Household?
Do you speak English?
Do you speak 2 or more languages?
How did you hear about JAG?
SUBMIT
