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E, Lakeport, CA 95453 www.MendocinoCollege.edu Directions Complete both sides and return to the Ukiah Campus or College Centers. The voluntary provision of your social security number will be used to assist the state of California in evaluating community college student success. Not providing your social security number could delay financial aid processing and accurate IRS reporting for tax credits. USE DARK BLUE OR BLACK PEN ONLY. 1 2 Social Security Number 3 Date of Birth (Month, day, ye.

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How to fill out the Roll No Lo 95490 Form online

Filling out the Roll No Lo 95490 Form online is an essential process for prospective students at Mendocino College. This guide provides clear and concise instructions to ensure a smooth and efficient completion of the form.

Follow the steps to successfully fill out the Roll No Lo 95490 Form online:

  1. Press the ‘Get Form’ button to access the Roll No Lo 95490 Form and open it in the document editor.
  2. Provide your social security number in the designated field, ensuring accuracy as it may affect financial aid.
  3. Enter your date of birth in the format of month, day, and year.
  4. Indicate your age and place of birth, specifying the state or country.
  5. Mark your gender by selecting either male or female.
  6. Fill in your previous name on academic records, if applicable.
  7. Enter your legal name, including last name, first name, and middle initial.
  8. Provide your day telephone number and your current residential address, including street, city, state, and zip code.
  9. If your mailing address is different from your residential address, fill in the alternate mailing address along with city and zip code.
  10. Enter your email address for communication purposes.
  11. Specify your citizenship status and provide additional details if you are not a U.S. citizen.
  12. Circle your predominant ethnicity from the provided options.
  13. Indicate your current student enrollment status based on the provided categories.
  14. Select the statement that applies to your educational background.
  15. Indicate the last high school you attended and the year you received your high school diploma or equivalent.
  16. If you have attended other colleges or universities, provide the names and details requested.
  17. Specify the program of study you intend to pursue at Mendocino College by referring to the codesheet.
  18. Authorize the release of your personal data and enrollment information by selecting 'Yes' or 'No'.
  19. Indicate your employment hours per week, if applicable.
  20. Answer the residency information questions accurately, including verification of California residency.
  21. Review all the information provided for accuracy and completeness.
  22. Finally, save your changes, download, print, or share the completed form as necessary.

Start filling out your documents online today to secure your place at Mendocino College!

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