EOP Eligibility Form

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EOP Eligibility Form

IMPORTANT: There is a short essay requirement at the end of this application. Allow yourself sufficient time to complete the application and the essay at Part 5 together so that you do not lose your work. There is no option to save progress and complete later.

Please be prepared to answer: Why did you choose Onondaga Community College (OCC), and how do you think the EOP program will help you reach your personal, academic, and career goals?

First Name

Last Name

OCC ID

Gender

Address

City

State

Zip code

Phone number

e.g. (999) 999-9999

Parent/Guardian Phone number

e.g. (999) 999-9999

Preferred Communication Method

Are you a NY State resident?

----------PART 2: HIGH SCHOOL----------

Are you attending high school or have a high school diploma/equivalent (such as a GED)?

Dates of Attendance

Additional High School Name (If attended)

While in high school, did you participate in any of the following opportunity programs? (Check all that apply)

No/None

Upward Bound

LPP (Liberty Partnerships)

STEP

SEEK

GEAR UP

OnPoint for College

Hillside

Other (please specify)

----------PART 3: ABOUT YOU----------

Please select the option that best describes your total income for the year?

Are you or your family primarily dependent on Social Services/Public Assistance (TANF, SNAP, etc.)

Are you in foster care as established by the court?

Are you a veteran of the U.S. Armed Forces?

Are you currently serving on active duty in the S.S. Armed Forces for purposes other than training?

As of today, are you married? (Also answer yes if you are separated, but not divorced.)

Does someone other than your parent or stepparent have legal guardianship of you, as determined by a court in your state of legal residence?

Do you now have or will you have children who will receive more than half of their support from you?

Child Support Income

Social Security Benefits

Supplemental Security Income

Workers Compensation/Disability

Unemployment

----------PART 4: PREVIOUS COLLEGE----------

Have you previously attended college?

----------Part 5: Short Essay Question----------

(250-500 words)

Why did you choose Onondaga Community College (OCC), and how do you think the EOP program will help you reach your personal, academic, and career goals?

There are no right or wrong answers--just be honest and share your story.

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