Student's Full Name
Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code
Country
Permanent Telephone Number
Date of Birth (MM/DD/YYYY)
While attending PCC, I plan to live:
I expect to take the following class load for my academic year at PCC:
Do you believe you might qualify for any of the following grants or student employment programs (check all that apply):
Are you interested in receiving information about a low-interest student loan?
Providence has job opportunities on campus, especially for students with financial needs. These jobs are similar to Federal Work Study jobs, but our students are hired as part-time employees of the college. The college employment is available to full-time, residential students. Students are paid the California Minimum Wage. Students are expected to work no less than 4 hours a week, and no more than 20 hours a week. Students are eligible for on-campus employment after fulfilling the following requirements:
The Office of Student Life has listings of job opportunities in the local community. These positions are released to both residential and commuter students in good academic standing. Wages and application information will be determined by the employer.
Do you expect to receive financial assistance or scholarships from other public or private sources (for example, high school awards, civic organization awards, public company awards, church grants, etc.)? If so, list below the sources and the amounts you expect to receive.
Please use the space below to explain any unique financial circumstances which Providence should consider when creating your financial aid package.
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