NEW STUDENTS— SECTION 2—
NEW STUDENTS
Male
Female
If not a U.S. Citizen, what
is your immigration status?
Student (F-1) Immigrant/Permanent Resident (IM)
Refugee(RF) Other
How long do you plan to attend Big Bend Community College?
Select the number that BEST applies to you and check that box.
11— One quarter.
12— Two quarters.
13— One year.
14— Up to two years, no degree planned.
15— Long enough to complete a degree.
16— Do not know.
90— Other.
What is your current work status while attending college?
Select the number that BEST applies to you and check that box.
11— Full-time homemaker.
12— Full-time employment (including self-employed and military).
13— Part-time off-campus.
14— Part-time on-campus.
15— Not employed, but seeking employment.
16— Not employed, not seeking employment.
90— Other.
What is your prior level of education at entry to Big Bend
Community College?
Select the number that BEST applies to you and check that box.
11— Less than high school graduation.
12— GED.
13— High school graduate.
14— Some post-high school, no degree or certificates.
15— Certificate (less than two years).
16— Associate Degree.
17— Bachelor's Degree or above.
83— Tech Prep.
90— Other.
What is your family status?
Select the number that BEST applies to you and check that box.
11— A single parent with children or other dependents in your care.
12— A couple with children or other dependents in your care.
13— Without children or other dependents in your care.
90— Other.
Last College Attended City State Year Graduated
Yes No
Do you have a GED certificate?
Yes No
If at BBCC, what year____________
Last High School Attended City State Year Graduated
Yes No
Are you a U.S. Citizen?
Yes No
How long have you resided in Washington State? Years Months
Were you financially independent from your parent or legal guardian for the previous
calendar year? Yes No
If no, how long has your parent or legal guardian resided in Washington State?
Years ________ Months ___________
Are you active duty military, spouse, or dependent child of same? Yes No
If yes, when was the active duty military person first stationed in Washington?
Mo. ________ Day _____________ Yr. ________________
Student ID Number
Are you a veteran?
Yes No
Commitment to Diversity
Big Bend Community College offers a variety of academic, financial, cultural, and personal support
services to interested students. We are commited to enrolling a diverse student body.
Has either of your parents/guardians received a bachelor's degree (4 year degree)?
Yes No
White/Caucasian (800)
Alaskan Native or
Native American (597)
African American (870)
Chinese (605)
Vietnamese (619)
Japanese (611)
Korean (612)
Other Asian or Pacific Islander (621)
Filipino (608)
Other Race (specify) (622)
_________________
Hispanic (717)
Mexican, Mexican-American (722)
Other Spanish/Latino (for exam-
ple: El Salvadorian, Guatemalan,
etc.)
_____________________
