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Chafee

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Site Information

Site Name: Patriot High School - Library
Type Of Organization: High School
Address: 4355 Camino Real , Jurupa Valley , CA 92509-345
Phone #: 9513616522 Ext: 2118

Workshop Details:

Start Date: 02/15/2018 Start Time: 6:00 PM End Time: 8:00 PM

Workshop Description:

Trained High School staff will be available to assist students and families on their financial aid applications. Students will need to bring either their school issued Chromebook or other electronic device as we will only have 9 public computers available for use. Bilingual staff is available as well as child care.

Services Offered: Cal Grant and other financial aid overview
AB540/CA Dream Act assistance
Foster youth assistance
Child Care
Other Services
Languages: English
Spanish
Scope:

Last Name *

First Name *

Middle Initial

Address Line 1 *

Address Line 2

City *

State

Zip Code *

Phone

EXT

Number of People Attending Workshop with you *

Mobile Phone

Email *

Confirm Email *

You will receive two separate emails containing a System ID and Temporary Password to complete your WMS User account.

* 1. What is your First Name?

* 2. What is your Last Name?

* 3. What is your personal email address? (Please list the email address you plan to use in your FAFSA or CADAA application. Please do not use your school email address!)

* Confirm email address

* 4. Phone Number

* Confirm Phone Number

* 5. When is your Date of Birth?

* 6. Home address
* Address Line 1

Address Line 2

* City

State

* Zip Code

* 7. What is the name of your High School?

* 8. What is your race/ethnicity? (Select all that apply)
American Indian or Alaskan Native
Asian
Black/African American
Hispanic/Latino/Latinx
Native Hawaiian or other Pacific Islander
White
Decline to Answer
Other

* 9. Will you be the first member of your family to attend college? Students with both parents or legal guardians who attended but did not graduate from a four-year college are considered a first generation college student. Yes No

* 10. Were you in foster care for at least one day between the ages of 16 and 18?
Yes No

* 11. Did you finish completing your application?
Yes No

* 12.How helpful would you rate this Cash 4 College Workshop?
Very Helpful
Helpful
Somewhat Helpful
Somewhat Unhelpful
Unhelpful
Very Unhelpful

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