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    2022 Student Support Services Form

    Personal Information
    Mailing Address
    Mailing Address
    Preferred Method of Contact
    Preferred Method of Contact
    Gender
    Gender
    Birthdate
    Birthdate
    Ethnic Background
    Ethnic Background
    Are you a U.S. Citizen?
    Are you a U.S. Citizen?
    Are you a permanent resident?
    Are you a permanent resident?
    Are you a member of a General Baptist church?
    Are you a member of a General Baptist church?
    Family Education History
    Have either of your parents earned a Bachelor's Degree (a 4-year degree)?
    Have either of your parents earned a Bachelor's Degree (a 4-year degree)?
    General Information
    Do you work?
    Do you work?
    I plan to live:
    I plan to live:
    Do you have a DOCUMENTED physical disability? (Documentation Required)
    Do you have a DOCUMENTED physical disability? (Documentation Required)
    Do you have a DOCUMENTED learning disability (Documentation required)?
    Do you have a DOCUMENTED learning disability (Documentation required)?
    Agreement
    By typing my name below, I authorize the Student Support Services staff to access any and all academic/financial aid records available from my school(s) I previously attended or presently attend.  I further authorize the staff to make copies of any or all academic and financial aid records, with the understanding that all records will remain confidential.  I authorize Student Support Services staff to forward copies of all disability documentation to appropriate OCU staff.  I certify that I have read this application and that it is accurate and complete to the best of my knowledge.