Online Surveys and Forms

To comply with federal laws, we are required to ask for your Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN). We will use your SSN/ITIN to report Hope Scholarship/Lifetime Learning tax credit; to administer state/federal financial aid; to verify enrollment, degree and academic transcript records; and to conduct institutional research. If you do not submit your SSN/ITIN, you will not be denied access to the college; however, you may be subject to civil penalties (refer to Internal Revenue Service Treasury Regulation 1.6050S-1(e)(4) for more information). Pursuant to state law (RCW 28B.10.042) and federal law (Family Educational Rights and Privacy Act), the college will protect your SSN from unauthorized use and/or disclosure. If you refuse to provide your SSN, please write “REFUSED” in the SSN box above. Contact the CCS Business Office at 509-434-5275 with questions.

SFCC: Student Information Update Form
Introduction:	*If you are a returning student who has not attended in a year (four quarters), you need to complete the Student Information Update Form.*
Instructions:	*For security purposes (in lieu of a physical signature) you will be required to attach photo ID. All information you provide (including attachments) will be submitted and handled securely.*




* What Quarter do you plan to return?
Fall
Winter
Spring
Summer
* What year do you plan to return?

* Will you be a Running Start student at the Quarter/Yr of your return?
Yes
No

* Where will you be attending?
SFCC Main Campus
Pullman
Fairchild
SFCC Main Campus (Running Start)

Personal Information ____________________________________________________________
* First Name: * Last Name: * Middle Initial:


* Date of Birth (MM/DD/YYYY):

* Social Security Number (if you are an International Student* or do not have a SSN, please put* NA):


To comply with federal laws, we are required to ask for your Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN). We will use your SSN/ITIN to report Hope Scholarship/Lifetime Learning tax credit; to administer state/federal financial aid; to verify enrollment, degree and academic transcript records; and to conduct institutional research. If you do not submit your SSN/ITIN, you will not be denied access to the college; however, you may be subject to civil penalties (refer to Internal Revenue Service Treasury Regulation 1.6050S-1(e)(4) for more information). Pursuant to state law (RCW 28B.10.042) and federal law (Family Educational Rights and Privacy Act), the college will protect your SSN from unauthorized use and/or disclosure. If you refuse to provide your SSN, please write “REFUSED” in the SSN box above. Contact the CCS Business Office at 509-434-5275 with questions.



* ctcLink ID number (if unknown, put NA):




* Mailing Address:

* City:

* State:

* ZIP:

* Email Address (please provide a valid and working email, as most communications from the college will be sent via email):


* Phone Number (please provide a valid and working number, as we may contact you via phone calls and texts):


Program of Study ____________________________________________________________

What program will you be pursuing?

*

Residency Status ____________________________________________________________

* Are you a US Citizen?
Yes
No

* Have you lived in the State of Washington for the past 12 consecutive months?
Yes
No

* Do you have a driver's license or State ID?
Yes
No

* If you have a driver's license or State ID, in which state was it issued? (If you do not have a license or ID, please put N/A).


* Are you active duty military or the spouse or dependent of an active duty military member? (If "YES", please submit a copy of your Military ID and Permanent Change of Station Orders).
Yes
No



* Are you a Washington National Guard member or the spouse or dependent of a Washington National Guard member? (If "YES", please submit a copy of your Military ID).
Yes
No



High School Completion ____________________________________________________________

* What High School did you attend?


* Did you graduate?
Yes
No

* GED?
Yes
No
* When did you graduate HS or earn your GED? (MM/YYYY)

Previous College Information ____________________________________________________________

Have you attended any colleges other than SCC/SFCC? If yes, please list the institutions name, location (City and State) and the year you attended. If no, you may leave this box blank.


Additional Documentation & Submittal ____________________________________________________________

For security purposes, please attach a copy of valid photo ID (i.e.: Driver's license, State ID)


*If necessary, please attach any additional documentation here:*




By submitting this form I understand my request to change my current program may affect my Financial Aid eligibility and/or award amount. I also understand this change may impact my degree completion time. I certify my responses on this form are true.
Leave this field blank:

CCS OnlineSurvey

SFCC: Student Information Update Form

Personal Information
____________________________________________________________

Program of Study
____________________________________________________________

Residency Status
____________________________________________________________

High School Completion
____________________________________________________________

Previous College Information
____________________________________________________________

Additional Documentation & Submittal
____________________________________________________________

SFCC: Student Information Update Form

Personal Information ____________________________________________________________

Program of Study ____________________________________________________________

Residency Status ____________________________________________________________

High School Completion ____________________________________________________________

Previous College Information ____________________________________________________________