Enrollment Information

Term 2019 Fall (Aug - Dec)

Educational Goal Undecided on goal

Major/Program area of study Computer Science, AS

Account Information

OpenCCC Account

Name Charles J Anderson

Permanent Address 6380 Bel Estos Drive

Santa Clara, CA 95124

Previous Name

Preferred Name

Main Phone (434) 298-2307

Ext:

Second Phone (434) 265-7777

Ext:

Email erickcardosofabu@gmail.com

Social Security Number ***-**-****

Date of Birth August 31, 1974

Mailing Address

Same as My Account Yes

Education

Enrollment Status as of 08/18/2019 First-time student in college (after leaving high school)

High School Education Level as of Received high school diploma from U.S. school

High School Completion Date 05/20/2017

No Received a diploma or certificate of completion in California

Yes Attended high school in California for three or more years

High School or Homeschool California City High, California City, CA, US

Grade Point Average 2.93

Highest English Course Taken 12th grade Honors English Composition or Literature

Highest English Course Grade A-

Highest Math Course Taken Trigonometry

Highest Math Taken Grade B+

Citizenship/Military

Citizenship Status U.S. Citizen

Military Status as of 08/18/2019 None apply to me

Residency

Yes Lived in California Continuously since 08/18/2017

No Since 08/18/2017 declared residency in another state for state income tax purposes

No Since 08/18/2017 voted or registered to vote in another state

No Since 08/18/2017 declared residency at an out-of-state college or university

No Since 08/18/2017 petitioned for a lawsuit or a divorce as a resident in another state

No Have you ever been in court-ordered foster care?

Needs and Interests

Yes Comfortable reading and writing English

No Would like information about money for college

No Receive TANF/CalWORKs, SSI, or General Assistance

Programs and services in which you are interested

Yes Academic Counseling/Advising

Yes, but not intercollegiate Athletics/Intercollegiate Sports

No Basic Skills (reading, writing, math)

No CalWorks

Yes Career Planning

No Child Care

No Counseling - Personal

No DSPS - Disabled Student Programs and Services

No EOPS - Extended Opportunity Programs and Services

No ESL - English as a Second Language

Yes Health Services

No Housing Information

No Employment Assistance

No Online Classes

No Re-entry Program (after 5 years out)

No Scholarship Information

Yes Student Government

No Testing, Assessment, Orientation

No Transfer Services

No Tutoring Services

No Veterans Services

Demographic Information

Gender Male
Parent/Guardian Education Levels 1: High school graduate (diploma, GED, or equivalent)
2: High school graduate (diploma, GED, or equivalent)

Hispanic/Latino No

Race
White

Supplemental Questions

Crafton Hills College Student Status

How did you learn about Crafton Hills Friend/Family Member

College?

Personal Information

What is Your Marital Status? Unmarried

Emergency Contact Information

Full Name Charles J. Anderson

Daytime Phone Number 434-298-2307

Evening Phone Number 434-265-7777

Relationship to Applicant: Parent

Cash Aid / CalWorks Recipient

No Are you a single parent?

No Are you receiving Cash Aid or CalWorks?