VTEA (Vocational and Technical Education Act)
Student Information Survey
NOTE:
1) Your responses are completely confidential.
2) You responses will help determine the amount of funding Barstow Community College receives for its Vocational Programs. THANK YOU FOR YOUR HELP!
Name:
Email:
Male Female
Last four numbers of Student ID
PhonePlease use this format (xxx)xxx-xxxx
Street Address
City, State Zip
I am enrolled/will enroll in a vocational
class for:
Spring Summer
Fall semester,
year 20: (SV01)
|
Accounting
Admin. of Justice Air Conditioning Allied Health Automotive |
Business Admin.
Business Tech. Cosmetology Computer Science Drafting |
Early Childhood Ed.
Electronics Fire Science Home Economics Library Science |
Management Photography Real Estate Work Experience Welding |
I am currently receiving the following services/assistance:
(SV02)Book loan Child care Counseling Transportation Tutor/reader
I would like to receive more information and/or contact regarding the following services/assistance:
(SV02)Book loan Child care Counseling Transportation Tutor/reader
Check the box which shows your
total yearly household income
(This information will remain confidential)
| $15,600 or less (SV03) | $26,400 - $31,800 | $42,600 - $48,000 |
| $15,600 - $21,000 | $31,800- $37,200 | $48,000 - $53,400 |
| $21,000 - $26,400 | $37,200 - $42,600 |
How many individuals are in your household?
| 1 person | 3 people | 5 people | 7 people |
| 2 people | 4 people | 6 people | 8 or more |
Check all of the following which apply to you:
| AFDC (SV03) | Learning Disabled | GAIN (SV03) | PELL (SV03) |
| SSI (SV03) | Displaced worker* | JTPA (SV03) | Veteran |
| Gen. Asstc. (SV03) | BOGW (SV03) | Physically Disabled | Tech. Prep.(SV08) |
| Single parent living with child (SV04) | First Generation College Student | ||
| Co-op Work Experience (SV07) | Displaced Homemaker (SV05)+ |
||
| Migrant Worker Status (SV09) | Migrant Worker Dependent Status (SV09) | ||
|
* Displaced Worker = Job eliminated
due to downsizing, mechanization, etc. |
|||
HAVE YOU APPLIED FOR A FEE WAIVER?
You may be eligible for a fee waiver (BOGW Grant). To find out if you qualify, fill out a BOGW application, which is available from the Financial Aid Office.
THANK YOU FOR YOUR HELP!
Your responses will help determine the
amount of funding
Barstow Community College
receives for its vocational programs.