High School Diploma
Non-High School Graduate
Have you participated in EOPS in the Educational Goal: (Check all that apply) Please state your intended college major
past? or certificate program atWCC/LCC/CCC:
□ Associate Degree (A.A. or A.S.)
□ Transfer Major:
If yes, at what college?
Please indicate the highest level of
Was your high school GPA 2.49 or lower? If yes, please attach your high school transcript.
education completed by your
Have you completed any units in the Yuba Community College District?
Includes any courses taken at WCC, LCC, CCC and YCC campus locations.
Have you earned any degrees or certificates? If yes, please state the degree, subject and year:
Have you attended any colleges outside the Yuba Community College District?
If yes, please attach all transcript(s)
Sex: Have you lived in CA for at
Decline to state
spoken at home:
Have you submitted the following documents to Financial Aid for the current year?
□ FAFSA □ BOG Fee Waiver
Are you a former foster youth or ward of the court that can provide verification?
Are you a part of the Disabled Students Programs & Services?
□ Yes □ No
Will apply for DSPS
If you are a participant, please attach a unit certification letter from the DSPS office.
Are you a part of the Woodland Community College CalWORKs program? □ N/A □ Former CalWORKs □ Current CalWORKs □ Will apply for CalWORKs
This section is for an additional program called CARE. If you meet the CARE criteria listed below, please fill-out the following questions. If you
are not eligible, you may skip this area and proceed with the final section of the application.
CARE eligibility criteria
• Be eligible and admitted into EOPS
• Be at least 18 years of age
• Single parent/head of household
• Have at least one child
A copy of you
r County Eligibility
Verification or current
TANF/CalWORKs Verification Form is
required when applying for CARE.
“Success is about being your best self, not about being better than others; failure is an opportunity, not a condemnation; effort is the key to success.”
Carol S. Dweck, Ph.D.
EOPS/CARE Programs – Woodland Community College
Application for Admission
Academic Year 2012 – 2021
Use Blue or Black Ink
How did you hear
Name of College or University Outside the Yuba Community College
• Parent must be a CalWORKs/TANF recipient
Are you receiving TANF/CalWORKs cash aid benefits for yourself?
Are you a single parent or head of household?
If no, are your children receiving cash aid?
Which county are you receiving aid?
What is your marital status?
Number of dependent children:
1 2 3 4 5 6+
If married, are you considered the head of household by your county’s
department of Social Services?
Do you have at least one dependent child that is 13 years of age or younger?