1 PASCO-HERNANDO STATE COLLEGE Admissions Application Info to New Applicants Programs of Study Application Residency Classification Dependency
2 Welcome to Pasco-Hernando State College Information for New Applicants Please follow the steps below to complete your admission process. If you need additional help at any time, contact the PHSC Information Center at NOW-PHSC ( ). Apply for Admission: Prospective students must submit this application with a $25 non-refundable fee. 1 Submit Transcripts After Applying to PHSC, all students (except non-degree seeking) must submit either an official high school transcript confirming graduation or official GED scores indicating the award of a high school equivalency diploma and official transcripts from each U.S. college or university attended in order to finalize admission to PHSC. All official transcripts must arrive in sealed envelopes from issuing institution and be addressed to: Admissions and Student Records Pasco-Hernando State College Ridge Road New Port Richey, FL NOTE: PHSC accepts electronic transcripts only from Florida public colleges and universities. 2 Apply for Financial Aid Students are encouraged to apply for federal financial aid by applying directly online at FAFSA.ed.gov. Any application for financial aid should be completed well in advance. Applicants for Title IV Federal Aid (e.g., Pell Grant) must submit either high school transcripts or GED scores indicating successful program completion. The PHSC school code is Information is available at: 3Demonstrate Readiness For Coursework Students planning to enroll in degree programs, including college career and technical certificate programs and/ or college-level English and math courses, must take a common placement test. The test assesses reading, writing, and mathematics skills and recommends placement into collegelevel or developmental education courses. Students enrolling into most technical certificate programs must take the Test of Adult Basic Education (TABE) within the first six weeks of the program in order to assess basic skills required for certification. Students who have a bachelor s degree, transfer credits in English and mathematics, or previously taken an ACT, Accuplacer, PERT, or SAT exam within the last two years may submit validated records to Admission to receive an exception to testing. Some students may also be exempt from testing, including recent graduates of a Florida public high school or active duty military. Contact Admissions about required documentation for this exemption. Note: Test scores become inactive after two years. NOTE: New PHSC students needing the Office of Disabilities Services should register with them as early as possible to process accommodation requests. 4 Select a Major Students must select a major using a self-paced career guidance tool designed to explore values, interests, personality, and skills as they relate to possible majors and careers. Go to: phsc.edu/selectamajor Follow the instructions on creating a new account Complete all of the assessments listed Use your results to explore career and major options Select your best suited Major Area of Study My major area of study is: 5Attend a New Student Orientation All new students (except non-degree seeking) are required to attend a new student orientation before registering for classes. The orientation program reviews PHSC academic programs and policies and is offered in person and year-round through online, day and evening sessions. Check the schedule at for on-campus dates. Contact Student Development at any campus to schedule either an online or on-campus orientation session. 6Meet with an Academic Advisor Before registering for classes, new students are required to meet with an academic advisor. In the one-on-one meeting, advisors discuss student career interests and academic options, review test scores, help build class schedules, and offer information about programs of study. It is recommended that transfer students bring copies of their previous college transcripts with them for advising purposes. Student Development Advisors, located at each campus, provides guidance to new, continuing and returning students. 7Register for Classes Review the course schedule and make selections Check registration dates for current term Register online through WISE PHSC Federal School Code Pay for Classes Students may pay course fees online through WISE or the Tuition Installment Plan (TIP). Students may also pay with check or major credit card (Discover, Visa, MasterCard, or American Express) at the College Store on any campus. Separate payment may be required for course fees and books.
3 Programs of Study Below is a list of all PHSC programs of study. Select the program that you wish to enroll in and indicate the program code on your application. Information about these programs can be found online in the PHSC Catalog/Student Handbook at BACHELOR OF APPLIED SCIENCE Supervision and Management APP-BOA BACHELOR OF SCIENCE * Nursing APP-BSN ASSOCIATE IN ARTS DEGREE PROGRAM Associate in Arts ASSOCIATE IN SCIENCE DEGREE PROGRAMS Accounting Technology AS-ACC Business Administration AS to BS Transfer Program AS-BA Computer Programming and Analysis AS-CPA Criminal Justice Technology AS-CJJ * Dental Hygiene APP-DH Drafting and Design Technology AS-DDT E-Business Technology AS-EB Emergency Medical Services AS-EMS Financial Services AS-FINS Fire Science Technology AS-FST * Health Information Technology APP-HIT Human Services AS-HS Industrial Management Technology AS-IMT Information Technology Security AS-ITS Internet Services Technology AS-ISTI Network Systems Technology AS-NST * Nursing (RN) ADN Transition Program (LPN) APP-NLT * Nursing (RN) ADN Transition Program (Para) APP-NPT * Nursing (RN) Generic Program APP-NGT Office Administration AS-OST Paralegal Studies (Legal Assisting) AS-LA * Radiography APP-RAD COLLEGE CREDIT CERTIFICATE PROGRAMS Accounting Technology Management Accounting Technology Operations Accounting Technology Specialist AutoCAD Foundations Business Management Business Operations Business Specialist Computer Programmer Computer Programming Specialist Database and E-Commerce Security E-Business Software AA TC-ATM TC-ATO TC-ATS TC-AF TC-SBM TC-BO TC-BS TC-BDP TC-CPS TC-DECSC TC-EBSOF E-Business Technical TC-EB E-Business Technology TC-EBTEC E-Business Ventures TC-EBVEV Financial Para-planner TC-FINP Healthcare Informatics Specialist TC-HCIS Human Services Assistant TC-HSA Information Technology Administration TC-ITAD Marketing Operations TC-MO Mortgage Finance Management TC-MFM Mortgage Finance Operations TC-MFO Mortgage Finance Specialist TC-MFS Network Infrastructure TC-NIC Network Support Technician TC-NSTC Network Virtualization TC-NVC Office Management TC-OM Office Specialist TC-OS Office Support TC-OSS * Paramedic APP-PARA Web Development Specialist TC-WDS APPLIED TECHNOLOGY DIPLOMA PROGRAMS Emergency Medical Technician ATD-EMT TECHNICAL CERTIFICATE PROGRAMS Applied Welding Technologies PSVC-WLD * CMS Law Enforcement Auxiliary Officer Basic Recruit Training Program APP-LEA * Correctional Officer Crossover Training to Florida CMS Law Enforcement Basic Recruit Training Program APP-CTL * Correctional Probation Officer Crossover to Florida CMS Law Enforcement Basic Recruit Training Program APP-PTL * Dental Assisting APP-DA * Florida CMS Correctional Basic Recruit Training Program APP-CO Health Unit Coordinator PSVC-HUC * Law Enforcement Officer APP-LEB * Law Enforcement Officer Crossover to Florida CMS Correctional Basic Recruit Training Program APP-LTC Medical Administrative Specialist PSVC-MS Nursing Assistant PSVC-NA * Pharmacy Technician APP-PHT Phlebotomy PSVC-PT * Practical Nursing APP-PN * Surgical Technology APP-ST * LIMITED ACCESS/SELECTED ADMISSIONS PROGRAM PHSC has a number of programs that may require additional qualifications and prerequisites. These programs are highly specialized and may have enrollment limits. Students who are admitted to limited access programs may have to wait for space to become available to begin their course of studies. If you wish to enroll in a limited access program, you must fill out a separate program application. However, you can indicate your intent to apply by listing a limited access code on your application.
4 Pasco-Hernando State College Application for Admission Submit this form and the non-refundable $25 application fee to the Admissions Office at any of the campuses listed below: East Campus Blanton Road, Dade City, FL North Campus Ponce de Leon Blvd., Brooksville, FL Porter Campus at Wiregrass Ranch 2727 Mansfield Blvd., Wesley Chapel, FL Spring Hill Campus 450 Beverly Court, Spring Hill, FL West Campus Ridge Road, New Port Richey, FL Residence Statement: The Residence Statement is required of all students and is used to determine the assessment of tuition and fees in accordance with Florida Statute. Complete details regarding the determination of a student s residence status may be found on the following state website: Social Security Number: In compliance with Florida Statute (5), Pasco-Hernando State College issues this notification regarding the purpose of the collection and use of Social Security Numbers. PHSC collects Social Security Numbers for use in performance of the College s duties and responsibilities. To protect students identities, PHSC will secure Social Security Numbers from unauthorized access. PHSC will never release Social Security Numbers to unauthorized parties, and students at PHSC will be issued unique student identification numbers. The unique student identification numbers are used for all educational purposes at PHSC including registration, accessing online records, etc. For specific legal authority authorizing or requiring collection, please review the student Social Security Number use chart in back of this application packet. Ethnicity: Providing ethnicity (race) information is not required but assists the College in federal and state reporting in compliance with Title VI of the Civil Rights Act. The information will not be used in the admissions process in a discriminatory fashion. Students with Disabilities: Support services are available to our students. Complete information about the services may be obtained through the Office of Disability Services at (727) Financial Aid/Veterans Services: If you wish to inquire about local, state or federal financial assistance, including veterans benefits, contact the Office of Financial Aid/Veterans Services at any of the campuses listed above. Limited Access Programs: Some programs at the College have restricted admissions, and students applying to those programs are required to submit additional information, including a Limited Access Program Application and non-refundable fee. Questions regarding the requirements for limited access programs should be directed to the Admissions and Student Records Office at (727) For further information, consult the PHSC Catalog/Handbook, the PHSC website or meet with an academic advisor. Dual Enrollment: High school students seeking to enroll in PHSC credit courses prior to high school graduation, should not use this application. Instead, complete the Dual Enrollment Application. Dual Enrollment Applications can be obtained from any of the campuses listed above or from a high school counselor. International Students: Non-citizens who plan to attend the College on an F1 or M1 Student Visa must complete the International Student Packet. This packet is available in the Admissions and Student Records Office at any of the three campuses listed above. Placement Test Requirement: All degree-seeking students or any student enrolling in an English or mathematics course must submit placement test scores. Those students who do no have ACT or SAT scores less than two years of age, should contact the testing center on any of the campuses listed above and make arrangements to take the FCELPT. Transfer students who have completed a college-level course in English or mathematics with a grade of C or higher will be exempt from testing. Transcripts: All students in any college credit program of study (and some vocational credit programs) are required to have official transcripts sent directly to PHSC. Non-credit Courses: Students seeking to enroll in noncredit courses only, should not use this form. Instead, complete the application and registration online from the College s website through WISE. FOR OFFICE USE ONLY Date $ Cash Receipt No. Checked by Register Invoice Cashier
5 1. U.S. Social Security Number: - - Pasco-Hernando State College APPLICANT INFORMATION PLEASE PRINT OFFICE USE ONLY APP 1 SLOC DT-APP DT-OR DT-WEB NOAPB D / ND 2. Legal Name: Last First Middle 3. Previous Last Name: 4. Local Mailing Address: Number & Street (including Apartment #) City State Zip Code 5. Permanent Address: (if different from above) Number & Street City State Zip Code 6. Telephone Numbers: ( ) ( ) Primary 7. Address: 8. Birth Date: / / 9. Gender: Male Female MM DD YYYY Other 10. Race: Are you Hispanic? No Yes Not Reporting Check all that apply: White Asian/East Indian Black/African American Native American/Indian Native Hawaiin/Pacific Islander 11. Does your mother/guardian have a bachelor's degree? Yes No Unsure/Not answered 12. Does your father/guardian have a bachelor's degree? Yes No Unsure/Not answered 13. Are you a citizen of the United States? Yes No If NO, indicate your country of birth: Citizenship: USCIS Status: Alien Resident Number: (Attach a copy of your Alien Residency Card.) Non-Resident of U.S. Visa Type: Expiration Date: (Attach a copy of your Passport and I-94 Card.) 14. Is a language other than English your native (first) language? Yes No 15. Do you plan to apply for Veterans Educational Benefits? Yes No
6 ENROLLMENT PLANS 1. Check the term and indicate the year you plan to begin your enrollment at PHSC: Fall (August) Yr: Spring (January) Yr: Summer (May) Yr: 2. If you plan to enroll in a degree or certificate program, complete the following: Associate in Arts (AA) Degree Associate in Science (AS) Degree Associate in Applied Science (AAS) Degree College Credit Certificate Advanced Technical Certificate Applied Technology Diploma Technical Credit Certificate If other than AA, which planned program? Please review the Programs of Study sheet on page Indicate your enrollment classification: Degree or Certificate Seeking Only: N: New (first time in any college) T: Transfer from Florida (previous attendance at any FL college/university) TO: Transfer from outside Florida (previous attendance at any college/university) P: Post-baccalaureate (earned bachelor s degree or higher) Non-degree/Non-certificate Seeking Only: S: Special Student (limited to 15 hours). (SPOPO XX) R: Transient (enrolled at another institution-must provide original transient form). (TRANS XX) P: Post-baccalaureate (earned bachelor s degree or higher). (NDOPO XX) P: Teacher Recertification. (SPCRT-XX) OFFICE USE ONLY TERM PROG ENRL HS CODE GED CODE EDUCATIONAL BACKGROUND 1. If you graduated/will graduate from high school, indicate: Name of High School City, State Graduation Date (MM/YYYY) If you graduated from a Florida public high school, please indicate the type of diploma/certificate: Standard Diploma Certificate of Completion IB Diploma Special Diploma* *Special Diploma graduates are not eligible for admission to degree, college credit certificate, applied technology diploma or most limited access programs. 2. If you did not graduate from high school, but earned a GED diploma, please complete the following: GED Testing Agency City, State Diploma Issue Date (MM/YYYY) 3. List in chronological order all colleges/universities you attended previously. If none, write NONE. DATES ATTENDED NAME OF INSTITUTION CITY, STATE FROM TO DEGREE EARNED Applicant Certification: I certify that the answers given herein are true and correct to the best of my knowledge. I agree that, if accepted, I will abide by all rules, regulations and policies of the College, now and hereafter adopted, as set forth in the District Board of Trustees Rules and as published in the College catalog. I understand that falsification of information in any admissions document is grounds for denial of admission and may result in dismissal from the College. I hereby give permission to PHSC to photograph me and publish such photos in any PHSC advertising media, including videotapes, slides, printed publications and any other media form, for all of the uses permitted by Florida Statute. I also agree to the release of any transcripts and/or test scores to be sent electronically to or from PHSC to other educational institutions as needed for educational purposes. Applicant s Signature Date:
7 RESIDENCE INFORMATION A Florida resident for tuition purposes is a person who has maintained legal residence in the State of Florida for the 12 months immediately preceding the first day of the full term for which enrollment is requested. The residence status of the dependent student is considered to be that of the parent or legal guardian of the student. A dependent student is any person who is eligible to be claimed by a parent/legal guardian for Internal Revenue purposes. If the student is under 24 years of age, PHSC will assume that the student is a dependent student, and the parent/legal guardian must complete the Residence Statement (below). The Florida Legislature has established a limited number of categories for the granting of in-state residence status to individuals who do not meet the 12 month requirement. The most common categories are included in the Residence Statement (FS ). If you or your parent/guardian have not lived in Florida for the required 12 month period, and you do not find a category for your specific situation, please describe your status on a separate sheet of paper, attach supporting documentation, and submit this information with your application. RESIDENCE STATEMENT FLORIDA RESIDENTS (This section must be completed by the independent student or the parent/legal guardian of the dependent student.) I am an independent person and have maintained legal residence in Florida for the 12 months immediately preceding the first day of the full term. NOTE: Independent persons under the age of 24 years must document independent status by providing the latest year s tax form. I am the parent/legal guardian of a dependent student, and I have maintained legal residence in Florida for the 12 months immediately preceding the first day of the full term. I am an active duty servicemember of the United States military stationed or residing in Florida. DOCUMENTATION REQUIRED: Military ID card and a copy of the servicemember s permanent military orders to Florida. NOTE: Spouse and dependent children are included. I have not resided in Florida for 12 months but have established legal residence in Florida and am married to a person who meets Florida residence for tuition requirements. DOCUMENTATION REQUIRED: Residence statement completed by student and spouse, documentation of legal ties to Florida, and copy of marriage license. I am a full-time instructional or administrative employee of a Florida public school, community or state college, or institution of higher education. DOCUMENTATION REQUIRED: Verification of full-time employment status. NOTE: Spouse and dependent children included. Student s Name: Student s Social Security Number: Name of person claiming Florida residence: Check status: Student Parent Legal Guardian (documentations showing court-appointed guardianship required) Permanent Address Street Address City State Zip Code County of Residence Driver s License Beginning Date of Florida Residence State County DL Number Original Issue Date Voter s Registration State County Reg Number Original Issue Date Vehicle Registration State County Tag Number Original Issue Date Non-U.S. Citizen only: Resident Alien Number Issue date Visa Status (Attach a copy of Resident Alien Card or Passport and I-94 Card.) DOCUMENTATION MAY BE REQUESTED BY THE COLLEGE FOR RESIDENCE DETERMINATION I affirm that I meet all requirements as provided by Florida Statutes and am eligible for classification as a Florida resident for tuition purposes. I understand that a false or fraudulent statement on this form will subject me to penalties for making a false statement pursuant to Section of the Florida Statutes. Signature of person claiming Florida residence Date NON-FLORIDA RESIDENTS I understand that I do not qualify as a Florida resident for tuition purposes for the term for which this application is submitted. If I should qualify for a future term, I understand I must file documentation to substantiate my eligibility for reclassification. I understand that this documentation must be filed prior to the beginning of the full term. I am not a resident of the State of Florida and do not qualify for classification as a resident for tuition purposes. I am a resident of the State of. I am a resident of the State of Florida, but have not resided in the state for the required 12 month period, nor do I qualify for residence classification under any of the exception categories provided by legislative ruling. I established legal residence in Florida on and will submit appropriate reclassification documentation when I meet the requirements. (indicate beginning date of residence here) INFORMATION FOR RESIDENCY CLASSIFICATION MO/YR Signature Date
8 Independent/Dependent Status for Residency for Tuition Purposes Independent Student. A student who meets any one of the following criteria shall be classified as an independent student for the determination of residency for tuition purposes: 1. The student is 24 years of age or older by the first day of classes of the full term for which residency status is sought at a Florida institution; 2. The student is married; 3. The student has children who receive more than half of their support from the student; 4. The student has other dependents who live with and receive more than half of their support from the student; 5. The student is a veteran of the United States Armed Forces or is currently serving on active duty in the United States Armed Forces for purposes other than training; 6. Both of the student s parents are deceased or the student is or was (until age 18) a ward/dependent of the court; 7. The student is working on master s or doctoral degree during the term for which residency status is sought at a Florida institution; or 8. The student is classified as an independent by the financial aid office at the institution. A student who does not meet one of the criteria outlined above may be classified as an independent student only if he or she submits documentation (most recent year s tax return) that he or she provides fifty (50) percent or more of the cost of attendance for independent, in-state students as defined by the financial aid office at the institution (exclusive of federal, state, and institutional aid or scholarships). Dependent Student. All other students who do not meet the above definition of an independent student shall be classified as dependent students for the determination of residency for tuition purposes. Residency claims must be made by the end of PHSC s drop/add period for each full term. If residency claim is made after the drop/add period, it will be effective the following full term.
9 Documentary Evidence for Residency for Tuition Purposes Prior to establishing residency for tuition purposes, independent or dependent status must be determined. At least two of the following documents must be submitted, with dates that evidence the 12-month qualifying period. The documents are to prove legal residence of the State of Florida for at least 12 months preceding the first day of classes of the full term for which residency is sought. At least one of the documents must be from the First Tier. As some evidence is more persuasive than others, more than two may be required. No single piece of documentation will be considered conclusive. Additionally, there must be an absence of information that contradicts the applicant s claim of residency. All residency ties to another state must have been relinquished prior to consideration of Florida residency for tuition purposes. First Tier (at least one of the two documents submitted must be from this list) Florida Driver s license or a State of Florida identification card Florida voter registration card Florida vehicle registration Proof of purchase of a permanent home in Florida which is occupied as a primary residence by the individual or by the individual s parents if the individual is a dependent child (warranty deed) Florida Homestead exemption (current year s tax bill) Transcripts from a Florida high school for multiple years (if the Florida high school diploma or GED was earned within last 12 months) Proof of permanent full-time employment in Florida one or more jobs for at least 30 hours per week for a 12-month period (on company letterhead) Second Tier (may be used in conjunction with one document from First Tier) Declaration of domicile in Florida (12 months from the date the document was sworn and subscribe as noted by the Clerk of the Circuit Court) A valid, non-expired Florida professional or occupational license Florida incorporation Documents evidencing family ties in Florida (ex: insurance, lease, etc.) Proof of membership in Florida-based charitable or professional organization Other documentation evidencing physical presence in Florida: Utility bills and proof of 12 consecutive months of payments Lease agreement and proof of 12 consecutive months of payments Official federal, state or court document evidencing legal ties to Florida Residency claims must be made by the end of PHSC s drop/add period for each full term. If residency claim is made after the drop/ add period, it will be effective the following full term. The College reserves the right to make changes, without notice, in rules, calendar, fees, and course offerings as circumstances may require.
10 Notification of Social Security Number Collection and Usage In compliance with Florida Statute (5), this document serves to notify you of the purpose for the collection and usage of your Social Security number (SSN). Pasco-Hernando State College (PHSC) collects and uses your SSN only for the following purposes in performance of the college s duties and responsibilities. To help protect your identity, PHSC policies and procedures prohibit the release or disclosure of your SSN to unauthorized parties contrary to state and federal law, and assigns you a unique student or employee identification number. This unique ID number is used for all associated employment and educational purposes at PHSC. Students Admissions Federal legislation relating to the Hope Tax Credit requires that all postsecondary institutions report student SSNs to the Internal Revenue Service (IRS). This IRS requirement makes it necessary for community colleges to collect the SSN of every student. A student may refuse to disclose his or her SSN to the college for this purpose, but the IRS is then authorized to fine the student in the amount of $ In addition to the federal reporting requirements, the public school system in Florida uses SSNs as a student identifier (section , FS). In a seamless K-20 system, it is beneficial for postsecondary institutions to have access to the same information for purposes of tracking and assisting students in the smooth transition from one education level to the next. Financial aid A student s SSN is required for the following financial aid purposes: The United States Department of Education s (USDOE) Free Application for Federal Student Aid (FAFSA) requires all applicants to report their SSN to be used for all federal financial aid programs as a student identifier for processing and reporting. In addition to its use by USDOE as a student identifier, the SSN is required in order for the Department of Homeland Security to investigate citizenship status, for the Federal Work Study Program, and is required on all loan applications for use by the lender, servicer, or guarantor. PHSC collects a student s SSN on certain institutional scholarship applications for student files and federal and state audit/reporting purposes. If you are a recipient of a State of Florida grant or scholarship such as the Florida Student Assistance Grant, Florida Work Experience or Bright Futures, the State of Florida Department of Education will require the use of the SSN on their grant/scholarship disbursement website and for reporting purposes. Library Student, faculty, and staff SSNs will be used in the college center for library automation, Library Information Network for Community Colleges (LINCC) for online login authentication, patron verification and the elimination of duplicate records. Outreach programs The Take Stock in Children, College Reach-Out Program and other similar programs are youth outreach (intervention) projects funded by discretionary grants from the U.S. or Florida departments of education. In order to verify a participant s project eligibility, Social Security numbers are required and also later used when submitting information for the Annual Performance Reports due to the U.S. or Florida departments of education. Workforce programs These programs, funded through the Agency for Workforce Innovation (AWI), use your SSN as an identifier for program enrollment and completion. Also, it is used for entering placement information into either the OSMIS or the Employ Florida Marketplace statewide data collection and reporting system. Because these are performance based contract programs, AWI requires that all participants and their program related activities be recorded in the Florida state system.
11 STUDENT Social Security Number Use Chart Pasco-Hernando State College Notification of Legal Authority for Collection and Use of Student/Applicant Social Security Numbers PURPOSE USE OF SOCIAL SECURITY STATUTORY OR MANDATORY OR NUMBER REGULATORY AUTHORITY AUTHORIZED Financial Requires institution to verify 20 USC 1078; Yes, mandatory to complete the Assistance studentʼs SS#, collection of 20 USC sections 1090, 1091, FAFSA application and required to information, including parents Section 483 of the Higher evidence eligibility for assistance. of dependents seeking aid. Education Act of 1965 Requires student to submit (collection of SSNʼs of students social security # to obtain grant, and parents) loan or work assistance. 34 CFR , (administrative use) Requires institutions to verify 34 CFR and 33 (verify residency) number in national database 34 CFR , (verify with FAFSA) and reporting & FS Required for FAFSA. Required for Bright Futures and other institutional scholarships/ state grants for eligibility purposes Student social security numbers as IRC Section 25A (Hope/Lifetime Student may refuse, but subject to Application authorized under the IRS Code learning credit tax reporting) $50 penalty under IRC Sect. 25A. (Admissions) (IRC Section 25A) SBE Rule 6A (3)(e) (Hope/Lifetime Learning tax credit) (authorizes college to maintain Pursuant to F.S. College information including SSNʼs on authorized to use SSN, but not adult students) require as condition of admission ; (5)(a.) FS or of graduation. Collection and disclosure Authorized to use student SSNʼs pursuant to State Board of Education Rules and Florida Statutes Student income Issuance of Forms 1098T (tuition 26 USC 3402, 6051 Student SS# or TIN required for Tax Reporting payments report) and 1098 E 26 CFR filing (loan interest) Hope/Lifetime Reporting of social security Federal Register June 16, 2000; Student may refuse, but subject to Credit numbers to IRS IRC Sect. 25A fine. Outreach Administrative use for state (5)(a). FS Yes, authorized for administrative Programs: (FDOE) or federal (DOE) use College Reach reporting; Social Security Out Program; numbers may also be used for Workforce verifying eligibility for programs Programs and establishing residency requirements. Federal Work Federal Work Study 34 CFR Mandated for Federal Work Study Study
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Hillsborough Community College Health Sciences Admissions APPLICATION FOR ADMISSION NURSING PROGRAM Thank you for your interest in Hillsborough Community College Health Sciences Programs. Acceptance to
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Hillsborough Community College Health Sciences Admissions APPLICATION FOR ADMISSION NURSING PROGRAM Thank you for your interest in Hillsborough Community College Health Sciences Programs. Because acceptance
Hillsborough Community College Health Sciences Admissions APPLICATION FOR ADMISSION HEALTH SCIENCES PROGRAMS Thank you for your interest in Hillsborough Community College Health Sciences Programs. Acceptance
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Lamar State College-Port Arthur Admissions Application 2015-2016 (Semester / Year) Major: BIOGRAPHICAL INFORMATION Are you applying for Dual Credit or Early Admissions? Consent to release application status
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APPLICATION FOR ADMISSION TO GRADUATE STUDY UNIVERSITY OF MASSACHUSETTS BOSTON Inside this publication you ll find: An application form pages 2-4* Personal Disclosure Form page 5 Forms for letters of recommendation
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HOW TO ESTABLISH COLORADO DOMICILE FOR TUITION PURPOSES UNIVERSITY OF COLORADO -- ANSCHUTZ MEDICAL CAMPUS -- OFFICE OF THE REGISTRAR Introduction The requirements for establishing residency for tuition
Application for Admission and Scholarships Application Form 2015-2016 Academic Year www.ohio.edu/admissions Undergraduate Admissions, Chubb Hall 120, 1 Ohio University, Athens OH 45701-2979 E-mail: email@example.com
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INSTRUCTIONS FOR COMPLETING A PETITION FOR CHANGE IN CLASSIFICATION FOR TUITION PURPOSES Please carefully read the VIII-2.70 POLICY ON STUDENT CLASSIFICATION FOR ADMISSION AND TUITION PURPOSES of the University
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The Oregon Master of Laws Program (LL.M.) Admission Application The Oregon Master of Laws program is designed for law school graduates and lawyers who desire to continue their legal studies for professional
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CRIMINAL JUSTICE INSTITUTE University of Arkansas System 26 Corporate Hill Dr Little Rock, Arkansas 72205 (501) 570-8000 APPLICATION FOR EMPLOYMENT The Criminal Justice Institute is an Equal Opportunity/Affirmative
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INSTRUCTIONS FOR COMPLETING A PETITION FOR CHANGE IN CLASSIFICATION FOR TUITION Please carefully read the VIII-2.70 POLICY ON STUDENT CLASSIFICATION FOR ADMISSION AND TUITION PURPOSES of the University
Admissions and Placement Chapter 3 Arkansas State University Mid-South 2015-2016 Catalog Page 26 Open Admissions Policy ASU Mid-South admits students without regard to race, color, religion, gender, national
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