Fillable LCC Application S05-PDF

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LCC Application S05-PDF

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Country of origin: US
File type: PDF

U.S.A. forms for California State University, Fresno

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29THANNUALLATINOCOMMENCEMENTCELEBRATION
CALIFORNIASTATEUNIVERSITY=FRESNO
2005APPLICATION
Deadline: April6 th,2005
ParticipationFee$35.00. Lateapplicationfeewillbe$45.00.Feemustaccompanyyourapplication.APPLICATIONSWILLNOTBEACCEPTED
AFTERMAY6,2005.Makech eckspayabletoLATINOCOMMENCEMENTCELEBRATION.SubmitapplicationtotheLatinoCommencement
Celebrationoffice,SocialScienceBuilding,Room108orm ailapplicationtoDr.LuzGonzalez,CaliforniaStateUniversity,Fresno,Collegeof
SocialSciences,5340NorthC ampusDriveSS91,Fresno,CA937408019.Therewillbea$10.00feeforreturnedchecks.
ABSOLUTELYNOREFUNDS.
APPLICATIONMUSTBETYPED
Firstname Lastname EmailAddress
Male Female
Currentaddress City/State Zip
StudentIDNumber
Currenthometelephonenumber(includeareacode) CellPhonenumber
ThefollowingtobereadonstageinEnglish orSpanish
Areparentsmarried? Thisinformationneededfordataentryonly.
Father’sFirstName Father’sLastName
Mother’sFirstName Mother’sLastName
IfdifferentfromFather’s
IFAPPLICABLE
Spouse’sFirstName Spouse’sLastName
Degreereceivingtoday:
BS BA MA MS MBA
MFA MPT MPA MPH MSW
Ed.D.
Major
(e.g.LiberalStudies,History,TheaterArts,etc.)
Pleasedonotlistdualmajor,option,emphasisorminor;listformaldegreeonly.
NationalHeritage
(e.g.Mexico,PuertoRico,ElSalvador,Brazil,Peru,etc.)
Thisinformationwillbeusedtoselectthecolorsofyoursash.
Youcangoto www.csufresno.edu/lcc tofilloutthisformonline.
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LCC Application S05-PDF

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Completed 6 November 2019

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