Welcome to the College of the Canyons EOPS/CARE Application! We are here to support you in achieving your higher education/career goals. Completion of this application will assist us in determining your EOPS/CARE eligibility. Please complete this application to the best of your knowledge. Please ALLOW UP TO 5 BUSINESS DAYS MAXIMUM for processing. Within that time frame, make sure to check for a response from EOPS via your canyons email or voice mail. If you have any questions about this application, please contact our Zoom Helpdesk from Monday through Thursday from 9AM-5:30PM, or Friday from 9AM-1PM so we can assist you in completing this application. You can also email us at eops@canyons.edu or contact our office at (661) 362-3279. COC Student ID Last Name (Please enter the name that is used on your School/Legal Records) First Name (Please enter the name that is used on your School/Legal Records) Preferred Name (Please note that this Preferred Name is not applicable to Admissions and Records processes) Address City State - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Phone number (somewhere you can be reliably contacted) COC Email Address How do you describe yourself Man Woman Trans Man Trans Woman Non-binary Genderqueer Other gender identity Enter other… Date of Birth Marital status Married Married and head of household (i.e., partner is incarcerated or disabled) Single Divorced Separated Widowed Are you head of the household? Yes No Are you OR one of your children under the age of 18 receiving CalWORKs/TANF (cash aid benefits)? Yes No How many of YOUR own children live with you and their ages Name of High School attended City and state of last high school attended What is your high school status? High School Diploma G.E.D. Certificate of Equivalency High School Proficiency Exam Certificate of Completion Foreign High School Graduate Did not Graduate Current High School Student Month and Year of last high school attended Have you completed AP courses with a possible score of 3 or above? Yes No For the semester that you are applying for, have you applied and submitted any of the following applications with the COC Financial Aid office? Select all that apply FAFSA (Free Application for Federal Student Aid) CCPG (California College Promise Grant, formerly known as the BOG tuition fee waiver) CADAA (California Dream Act Application, for undocumented students who have AB540/ SB68/ AB2000) None at this time It is HIGHLY encouraged that you apply for financial aid at College of the Canyons PRIOR TO COMPLETING THIS APPLICATION. Failure to have any type of Financial Aid on file may affect your eligibility for some of our programs. You can apply to either FAFSA, CADAA, OR only the CCPG. Contact the COC Financial Aid office during business hours via phone, email, or in-person for further assistance. In your financial aid package, did you qualify for CCPG (CA College Promise Grant, formerly BOG Fee Tuition Waiver)? Yes No- select this response if you applied for the CCPG and are positive that you are ineligible. Unsure You must qualify for the CCPG in order to be eligible for EOPS. It is HIGHLY encouraged that you apply for financial aid at College of the Canyons. You can apply to either FAFSA, CADAA, OR only the CCPG. You must qualify for the CCPG in order to be eligible for EOPS. Contact the COC Financial Aid office during business hours via phone, email, or in-person for further assistance. I have completed less than 70 units of college degree applicable units Yes No; I have completed MORE THAN 70 college degree applicable units In order to qualify for EOPS, you must have completed less than 70 units or less. I am enrolled or intend to enroll full-time at COC this incoming semester OR minimum of 6 units if I am in Academic Accommodations Center, formerly DSPS Yes No If you are not planning on enrolling in 12+ units, how many units are you planning on enrolling in? Did you have an IEP or 504 plan during high school Yes No Do you plan on getting services from the Academic Accommodations Center (formerly DSPS-Disability Support Services)? Yes No I graduated from high school with a GPA lower than 2.5 on a 4.0 scale Yes No I have been in a high school or college remedial education class Yes No Have you attended any colleges or universities besides College of the Canyons? Yes No List all colleges/universities that you have attended with city & state only Number of college credits completed Have you earned a degree at a previous college/university (Inside USA or Out of Country)? Yes No If you have attended other colleges, have you submitted your official transcripts to College of the Canyons? Yes No Choose one of the following statements that best describes you regarding your EOPS participation: First time EOPS student EOPS Student at another Community College, but first time EOPS student at COC Continuing EOPS student at this campus, but skipped one or more terms since last EOPS experience Are you a member of other COC programs? Check all that apply or "None" Athletics CalWORKs Academic Accommodations Center (formerly DSPS) Canyons Promise (First Year Promise or Second Year Promise) Inspire Scholars (Foster Youth) Undocumented Resource Center MESA (Math, Engineering, or Science Program) Veterans School of Personal/Professional Learning (formerly Noncredit) Adult Re-entry Rising Scholars (criminal justice system-impacted students) Honors Program EOPS/CARE None What is your educational Goal at College of the Canyons? Certificate Program Only (No Associate Degree and/or Transfer to University) Associate Degree only (no transfer to university) Associate Degree and Transfer to University Transfer to University only Noncredit courses (ESL, Citizenship, Career Skills, Business, Counseling, etc.) Other Enter other… What is your major? (Type out your major, write “undecided” if you are unsure) I am a first-generation college student Yes No My parents are not native English speakers: Language primarily spoken in the household is something other than English. Yes No What language is spoken? What ethnicity group do you identify with? Native American/American Indian Asian/Pacific Islander Black Caucasian (White) Hispanic/Latino/Mexican American Filipino Multiple Ethnicities Other Enter other… Are you a current or former foster youth? Yes No Would you like a referral to the COC BANC (Basic Needs Center) related to housing insecurities (examples: sleeping in your car/on the street, overcrowding, couch surfing, etc.), food, clothing, or other basic needs? Yes No N/A What term/year are you applying for? I certify that the above statements are true and I will supply any documents needed to determine eligibility. By typing my name below, I give permission to review high school and/or college records. Signature Leave this field blank