JAA Application

Term of Submission

CCRI ID

Are you a General Studies Major at CCRI?

Please note that upon submission of this form your status will be updated to General Studies. This could impact your Financial Aid, if all registered classes are not needed in your new major. You are allowing CCRI JAA Staff to change your major to General Studies in compliance with JAA policy.

First Name

Middle Name

Last Name

Mailing Address

Country

Street

City

Region

Postal Code

Phone Number

Personal Email Address

CCRI Email Address

Birthdate

Gender

Country of Citizenship

Residency

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions.

Are you Hispanic or Latino?

Yes

No

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Intended Major

Area of Study

Social Security Number

Number of Credits

Have you attended any colleges other than CCRI?

Previously Attended College