Submission Information

Your application was submitted onMarch 15, 2022 01:11

Confirmation Number23203437

Enrollment Information

TermSummer & Fall 2022

Educational GoalUndecided on goal

Major/Program area of studyMathematics - Associate of Science Transfer Degree

Account Information

OpenCCC Account

NameAeneas Wood

Permanent Address3261 S Sepulveda Blvd

Apt 301
Los Angeles, CA 90034
United States of America (the)

Previous Name

Preferred Name

Main Phone(213) 995-7218

Phone Type

Emailaeneas.wood@gmail.com

Preferred Method of Contact:

Social Security Number***-**-****

Date of BirthOctober 27, 2006

Parent/Guardian Information

Under Care of Parent/GuardianYes

Parent Guardian Name/RelationshipEmily, Wood, Father

Mailing Address

Same as My AccountNo

1608 S Bentley Ave

Apt 3
Los Angeles, CA 90025

Education

Enrollment Status as of June 12, 2022Enrolling in high school (or lower grade) and college at the same time

High School Education Level as of June 12, 2022Will be enrolled in high school (or lower grade) and college at the same time

NeitherReceived a diploma or certificate of completion in California

NeitherAttended high school in California for three or more years

High School or HomeschoolNorth Hollywood Senior High, North Hollywood, CA, US

NoCompleted Eleventh Grade

Highest Grade CompletedCurrently enrolled in 9th grade or lower grade, or no high school at all

College Education Level as of June 12, 2022No degree

Citizenship/Military

Citizenship StatusU.S. Citizen

Military Status as of June 12, 2022None apply to me

Residency

YesLived in California Continuously since June 12, 2020

NoSince June 12, 2020 declared residency in another state for income tax purposes

NoSince June 12, 2020 voted or registered to vote in another state

NoSince June 12, 2020 declared residency at an out-of-state college or university

NoSince June 12, 2020 petitioned for a lawsuit or a divorce as a resident in another state

NoAt any time in the last 24 months have you been determined to be homeless?

NoHave you ever been in court-ordered foster care?

Needs and Interests

YesComfortable reading and writing English

NoWould like information about money for college

NoReceive TANF/CalWORKs, SSI, or General Assistance

Programs and services in which you are interested

NoAcademic Counseling/Advising

NoAthletics/Intercollegiate Sports

NoBasic Skills (reading, writing, math)

NoCalWorks

NoCareer Planning

NoChild Care

NoCounseling - Personal

NoDSPS - Disabled Student Programs and Services

NoEOPS - Extended Opportunity Programs and Services

NoESL - English as a Second Language

NoHealth Services

NoHousing Information

NoEmployment Assistance

YesOnline Classes

NoRe-entry Program (after 5 years out)

 NoScholarship Information

NoStudent Government

NoTesting, Assessment, Orientation

NoTransfer Services

NoTutoring Services

NoVeterans Services

Demographic Information

GenderMale

Parent/Guardian
1: Graduate degree
Education LevelsPh.D., or professional degree beyond Bachelor's)
(Master's,
2: Bachelor's degree (for example: BA, BS)

Hispanic/LatinoNo

Race
White

Supplemental Questions

The colleges of the Los Angeles Community College District are: East Los Angeles College, Los Angeles City College, Los Angeles Harbor College,
Los Angeles Mission College, Los Angeles Pierce College, Los Angeles Southwest College, Los Angeles Trade Technical College, Los Angeles
Valley College, and West Los Angeles College.

1. Primary Language

Enter your primary language: English

2. Student Military Status

What is your U.S. Military Status as of the first I have never served in the military
day of the term?

3. Student Military Dependent Status

What is your U.S. Military Dependent Status I am not a military dependent

as of the first day of the term?

4. Permission to Release Types of Student Information — DIRECTORY INFORMATION: Name, city of residence, participation in officially
recognized activities and sports, weight and height of athletic teams members, date of attendance, degrees and awards received, and the
most recent previous educational institution attended. COLLEGE FOUNDATION INFORMATION: Name, address, and telephone number.
FOUR-YEAR COLLEGE INFORMATION: Name, address, and telephone number. MILITARY RECRUITING INFORMATION: All information outlined in
'Directory information,' plus, address, telephone number, date of birth, and major field of study. Be sure to read the Full Statement of
Consent before deciding whether or not to grant your consent. You may find the Full Statement of Consent in the Consent tab of the
application. To change your authorization, notify the college admissions office in writing.

Neither I do not permit the college to release directory information.

Neither I do not permit the release of my information to the College Foundation. (Leave blank if you want
information on LACCD Foundation scholarships, grants and networking opportunities).

Neither I do not permit the release of my information to four-year colleges.

Yes I do not permit the release of information to the military.

5. Campus Emergency Alert Notification

Please enter your cell phone number 2139957218

(xxx-xxx-xxxx):
In case of an emergency, who can we contact on your behalf? (Do not list yourself)

Contact Name (First Name Last Name) Emily Wood

Contact's Phone (xxx-xxx-xxxx) 4103497130

Relationship: Parent

6. Are you interested in participating in a sport?

Neither

6a. If yes, please select all that apply below:

Badminton

Baseball

Basketball

Bowling

Cross country

Fencing

Football

Golf

Gymnastics

Lacrosse

Sand Volleyball

Soccer

Softball

Swimming

Tennis

Track & Field

Volleyball

Water polo

Wrestling

Other

7. The following questions are designed to determine if you qualify for the EOPS Program. If you qualify you will receive further information
by email. You may be asked to provide additional documentation.

Neither a. Was your High School Grade Point Average (GPA) below 2.5?

Neither b. Were you previously enrolled in remedial (special education/resource) courses?

c. What is the primary language spoken in English

your home?

8. The following questions are designed to determine if you qualify for the CARE Program. If you qualify you will receive further information by
email. You may be asked to provide additional documentation.

Neither a. Are you receiving cash aid (TANF, CalWORKS/GAIN) for your child and/or yourself?
 Neither b. Are you a single head of household?

9. Students receiving federal, State or other financial resources (i.e. financial aid, scholarships, stipends, HEERF II, etc.) may authorize the Los
Angeles Community College District (LACCD) to deduct and apply these funds towards their outstanding institutional charges. By clicking YES,
you authorize the Los Angeles Community College District to deduct and apply these funds towards outstanding institutional charges and
obligations (i.e. enrollment fees, health fees etc.). Remaining balance after deduction will be refunded to the student.

Neither

10. I would like to be contacted regarding resources including but not limited to; Food, Housing, Bill/Utility payment, Technology
(Wifi/laptop), Mental Health, Basic Needs, etc.

Neither

11. Have you earned an Interstate General Education “Passport” at a previous college or university?

Neither

Consent

YesI authorize the Chancellor's Office, California Community Colleges, and the community colleges I am attending to release personal information
contained in my education records, including my Social Security Number, for the purposes described in the Full Statement of Consent.