This application will screen your eligibility for the following programs at Cabrillo College:

EOPS/CARE/NEXT UP and Guardian Scholars

 To prevent delay in the screening of your eligibility for our programs please ensure that you have applied for FAFSA/CADAA and that you are enrolled in 12 units. If you are registered with ASC, the 12 units may be waived.
General Information:
Today's Date:
School ID *
Last Name *
First Name *
Cell Phone Number *
Email Address *
Date of Birth *
Permanent Address
Permanent City
Permanent State
Permanent Zip
Gender:
Ethnic Background *

EOPS Eligibility
Marital Status
CA Residency *
Did you graduate from a High School? *
If HS graduate, HS Name
High School Graduation Date
Attended another college besides Cabrillo? *
If yes, name of other institutions previously attended:
If yes, does Cabrillo have your transcripts?
If not, please attach transcripts for all institutions previously attended.
Transcript 1
Transcript 2
Are you registered with the Accessibility Support Center (ASC)?
Did either of your parents receive a Bachelor's degree in the U.S.? *

CARE Eligibility
Do you have children? If the answer is no, skip to the next section
Are you a single head of household?
Are you currently receiving CALWORKs Cash Aid or Tribal TANF?

Please upload a screenshot of your CalWORKs benefits or letter from the county showing your benefits. The document needs to state the recipients' name, DOB and monthly amount of benefits. 
Document 1

Guardian Scholars/NEXTUP Eligibility
Have you ever been in the foster youth system?
Were you in foster care on or after your 13th birthday?
Are you participating in Extended Foster Care? (AB 12/Non Minor Dependent)

Waiver of Confidentiality

 This application will be used to determine program eligibility.  All information on this form will be kept confidential. By signing this application you authorize the programs' staff to release and/or share information with other college programs/services needed to determine your eligibility. 
Appliant Signature *
Signature Type: Simple    Start Over
Signature: (Type in your full name)
I agree to the terms included.

Thank you for for applying to Cabrillo College's EOPS/CARE/NEXTUP and Guardian Scholars Programs