PCC Cares Fund Questionnaire

Personal Information

Tell us a little bit about yourself in this first section!

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* 1. Are you requesting assistance for:

Current semester

Upcoming semester

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* 2. What is your PCC student ID?

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* 3. What is your first name?

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* 4. What is your last name?

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* 5. What is your personal email address?

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* 6. How many members of your family will be attending college this year?

0

5

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* 7. Classification

First Time PCC Student

Transfer Student

Freshman

Sophomore

Junior

Senior