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Date of birth:
mm/dd/yyyy
Is the student a veteran of the U.S. Armed Forces?
Yes
No
Is the student an orphan or ward of the court or was the student a ward of the court until age 18?
Yes
No
Will the student be working on a degree beyond the bachelor's degree in school year 2012 - 2013?
Yes
No
If you are enrolling in a teaching credential program, answer "No" unless you will also be working on a master's degree.
Is the student married?
Yes
No
Does the student have children who receive more than half their support from the student or does the student have dependents (other than a spouse or children) who will live with the student and receive more than half their support from the student?
Yes
No
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