Active EOPS students do not need to reapply. General Information Term of Application Is this your first time applying for OC EOPS? Yes No, I am Reapplying for OC EOPS I am part of an EOPS program at another college and would like to transfer to OC EOPS First Name Last Name Preferred Name Student ID? Best Phone Number to Contact You Birth Date Email Address Intended Major Ethnic Background Ethnic Background - Select -African-American/BlackAsian/Pacific IslanderLatinx/Chicanx/HispanicNative AmericanWhite/CaucasianDecline to stateOther… Enter other… Have you filled out a FAFSA or DREAM Act application for the semester in which you are applying for EOPS? Yes No Have you lived in California for at least a year and a day? Yes No Are you an EAC Participant? Yes No NOTE: Please provide a verification letter from EAC after you are accepted. Are You a CalWORKs/TNAF Recipient? You or your child(ren) Yes No Are You a First Generation College Student? Parents did not complete a four-year college degree Yes No Additional Information English is not my primary language Foster Youth (current or emancipated. Confidential: you may be eligible for additional services) I am an AB540/Dreamer Student I AM A SINGLE PARENT/GUARDIAN (IF YES, ASK ABOUT CARE FOR ADDITIONAL SERVICES) High School GPA was below 2.5 I have not completed more than 50 units I am a homeless youth I am a Veteran/Active Duty Military Member None of the above Pre-College Information Unofficial transcripts must be submitted with your application High School Attended Year Completed High School Information Graduated High School Did Not Graduate High School GED College Information: List all colleges/universities attended, including current school. (For colleges outside of VCCCD, you will be asked to provide unofficial transcripts in a follow-up email to complete your application). Name of College(s) Currently Attending NAME OF COLLEGE(S) PREVIOUSLY ATTENDED PRIOR COLLEGE DEGREES CONFERRED Agreement: I agree to provide any documentation needed to determine eligibility, and I give permission to review high school and/or college records. I understand that any false statement made on this application may result in penalties, including but not limited to being denied EOPS/CARE services or having to make repayment for services already rendered. By typing my name below, I acknowledge that all the information contained in this application for Extended Opportunities Program & Services is correct to the best of my knowledge. signature CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.