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Complete the following application to register for classes. Upon submission, your application will be forwarded to the CEC Admissions & Records office at CEC_Admin_Records@sac.edu for processing. Please allow two business days for processing of your application. A confirmation email will be sent to the student email provided on this form when your class(es) are added. (The recommended browsers to use for this application include the most current version of Chrome, Firefox or Safari.)

ENROLLMENT STATUS
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STUDENT INFORMATION
 1 - English as a Second Language (ESL) Program
 2 - Career Education Program
 3 - High School Diploma Program
 4 - Other
 
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OTHER INFORMATION

  1 - EDD
  2 - TANF/AFDC
  3 - CalWORKs
  4 - Rehabilitation
  5 - Currently in H.S./K-12
  6 - Veteran
  7 - Migrant Worker
  8 - Child of Migrant Worker
  9 - Other Public Assistance
 10 - None
 11 - Other

  1 - Cultural Barriers
  2 - Disabled/SSI
  3 - Displaced Homemaker/Worker
  4 - English Language Learner
  5 - Ex-Offender
  6 - Foster Care Youth
  7 - Homeless
  8 - Long-term Unemployed
  9 - Low Income
  10 - Low Level of Literacy
  11 - Migrant Farmworker
  12 - Seasonal Farmworker
  13 - Single Parent
  14 - No TANF within 2 Years
  15 - None
 
 
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  YES (Check all that apply):

     HM - Mexican, Chicano

     HR - Central American

     HS - South American

     HX - Other Hispanic

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 AC - Chinese
 AI - Asian Indian
 AJ - Japanese
 AK - Korean
 AL - Laotian
 AM - Cambodian
 AN - American Indian/Alaskan
 AV - Vietnamese
 AX - Other Asian
 BL - Black or African American
 FI - Filipino
 PG - Guamanian
 PH - Hawaiian/Pacific Islander
 PS - Samoan
 PX - Other Pacific Islander
 WH - White
 
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How would you describe your English language skills?

SECTION/CLASS INFORMATION
Section Number Course Title Day(s) Class Time Term
 
 

 I certify that the information provided on this application is true and correct and I understand that RSCCD may use the contact information I provided to reach me regarding school matters. By submitting this application, I am agreeing to comply with the RSCCD student conduct policies as a continuing education student.