EOPS Application

Extended Opportunities Programs & Services

Personal Information

Name*
Enter your student ID number
Address*
OK to Text?*
Please use your @my.smccd.edu address

Demographic and Residency

Date of Birth*
Gender*
Do you identify as part of the LGBTQ+ (lesbian, gay, bisexual, transgender, questioning) community?*
Ethnicity*
Are you a California Resident?*
Did Admissions and Records classify you as a California Resident?

Educational Background

Have you earned a college degree in the United States or from other country?*

Please note that students who are seeking another degree are not eligible for EOPS.

Are you a high school graduate?*
If so, select the award type you received
Was your high school GPA less than 2.5?*

If it has not already been submitted to the College, we may need a copy of your unofficial high school transcript to confirm your GPA. Please upload an unofficial transcript below.

Did you take English as a second language classes in high school?*

If it has not already been submitted to the College, we may need a copy of your unofficial high school transcript to confirm enrollment in ESL classes. Please upload an unofficial transcript below.

High School Transcript
No File Chosen
File uploads may not work on some mobile devices.
What is your educational goal?*
Please check all that apply

Educational Profile

Did you intend to be a full-time student (12 units or more)?*
Please indicate the reason why you are unable to be a full-time student?
Check all that apply
Have you applied for financial aid? (FAFSA, Dream Act, California College Promise Grant)*

Financial Aid Notice

In order to be eligible for EOPS students must be eligible for financial aid. Please contact the Financial Aid Office for assistance with the application process.

Cañada College Financial Aid

Go to Cañada College Financial Aid (Opens a new window)

Are you a Disability Resources Center (DRC) participant?*
Do you give the EOPS staff permission to contact the DRC on your behalf to confirm DRC participation for EOPS enrollment purposes?
Are you currently or formerly a foster youth or ward of the court?*
Have you attended other colleges outside of the San Mateo Community College District?*

College transcripts from all colleges you have attended are required to be submitted as part of the EOPS application process in order to determine eligibility. Please list the colleges below.

Number of Units Completed at College 1
Transcript for College 1
No File Chosen
File uploads may not work on some mobile devices.
Leave this field blank if you only attended one other college
Number of Units Completed at College 2
Transcript for College 2
No File Chosen
File uploads may not work on some mobile devices.
Leave this field blank if you only attended one or two colleges
Number of Units Completed at College 3
Transcript for College 3
No File Chosen
File uploads may not work on some mobile devices.

Did either of your parents receive a Bachelor's degree (domestic or international)?

Parent 1*
Parent 2*

CARE Eligibility

Complete this section only if you have dependent children under the age of 18

Are you receiving county cash aid/TANF/CalWORKs?

Self
Children

Additional Information

Are you employed?*
How did you hear about EOPS
Are you a member of any of the following programs/services? (check all that apply)

Certification: ALL APPLICANTS MUST READ THIS STATEMENT AND SIGN BELOW

I hereby swear or affirm, under penalty of perjury, that the information on this form is true and complete to the best of my knowledge. If asked by the authorized official, I agree to give proof, which may include a copy of my high school and/or other college transcripts. I also realize that any false statements (including having a US or International Degree) or failure to give proof when asked may cause for denial, being dismissed from the program, and or repayment of any EOPS financial assistance provided to me.

If you are unable to sign using the signature, please type your name in the field immediately following.

Signature Method
Use your mouse or finger to draw your signature above
This serves as an alternative means of signing the application if you are unable to

APPROVAL STEP

If the student will be marked as pending status, please click the following button to generate their e-mail and add them to "Pending" in the Google Sheets spreadsheet.

Pending Form

Reviewed By
Date/Time
Do you approve this application?*
Cancel
Confirm