Application First Year Experience Application 2014 The First Year Experience (FYE) is now accepting applications for the 2014-2015 school year. All interested applicants should fill out the form to be considered for next fall’s cohort. All students are welcomed to apply, but priority will be given to those students whose first credit enrollment at Palomar College is Fall 2014. PERSONAL INFORMATIONName*FirstLastPalomar ID (9 digit)*Address*Street AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateZIP CodePreferred Email*Enter EmailConfirm EmailHome Phone*Cell PhoneDate of Birth*MMDDYYYYPrimary Language Spoken at HomeFYE CLASS OPTIONS FYE students will enroll in a year-long English track, a Math track, or an ESL track. Please select a preferred track. If you do not know, a counselor will help you select the track that's best for you.Defining the FYE Tracks (click on the link below to view more information about each track) English Track ESL Track Math Track Which FYE Cohort are you interested in participating in?*English TrackESL TrackMath TrackI don't know; will discuss with a counselor before selecting.BACKGROUND INFORMATION As of today, have you taken your Assessment Placement Test?*YesNoHave you submitted a Financial Aid Application (FAFSA) for the 2014-15 school year?*YesNoIf you did not submit your FAFSA application, then did you file your the Dream Act Application, if eligible?*Yes, I did submit the Dream Act applicationNo, I did not submit the Dream Act applicationI do not know Are you the first person in your immediate family to go to college?*YesNoAre you planning to work while attending college? *YesNoI don't knowHow many hours do you expect to work per week?*less than 5 hours per weekbetween 5-10 hours per weekbetween 10-20 hours per weekmore than 20 hours per weekAre you a member of any other student services program at your high school or Palomar College? (select all that apply)APAVIDCalWorksEducational Talent SearchEOP&S/CAREGear-UpMigrant EducationNCEOCNHSTRIOUpward BoundVeteransWhat particular topics/issues would you like to receive more information on?Financial SupportGoal SettingMotivationStudy SkillsStudent SuccessStress ManagementTest AnxietyTime ManagementClubs/OrganizationsCollege Major or InterestTransfer to UniversityPalomar College ResourcesCareer ExplorationJob Preparedness/ Life Skills Budget Management CAREER/ MAJOR GOAL If you could choose three careers and/or majors, what would they be? (Don’t think about grades, skills, formal education or family resources at this time).Career/ Major Choice #1Career/ Major Choice #2Career/ Major Choice #3HOW DID YOU HEAR ABOUT US?How did you hear about the First Year Experience program? *Campus Flyer/PosterPalomar Assessment OfficePalomar CatalogPalomar WebsitePalomar EmailPalomar CounselingHigh School CounselorGear-UpUpward BoundEducational Talent SearchAVIDEOP&STutoring CenterOtherIf referred by a Palomar Counselor, please include counselor's name:Other, please specify:Please check all the social networking sites you use:FacebookTwitterInstagramOtherIf other, please specify:BRIEF ESSAYBriefly describe what your challenges have been in the past as a student and what type of assistance would help you achieve your academic goal.CONSENT TO RELEASE INFORMATIONBy submitting this application, I am granting permission to Palomar College Financial Aid Office and Admissions/Records to release information to authorized FYE/ Summer Bridge Program personnel about my financial aid and enrollment records. I also understand that all information will remain confidential and will only be used to assist me during my time at Palomar College.*I AgreePHOTO/MEDIA RELEASEThroughout the year, FYE staff will take photos of students while participating in program activities, either individually or as part of a group photo. These photographs or video may be used on promotional materials or on our website. By selecting 'I agree' you hereby grant Palomar College permission to take and use photographs/video of you in connection with the First-Year Experience activities, and waive any rights to compensation. *Yes, I agree, and have read the permission release form. I do not want my picture to be taken or used for promotional material including web and print. Click here to read the permission release form.FYE COMMITMENTIf I am accepted into the First Year Experience program, I will commit myself to all program responsibilities outlined on the FYE Student Responsibility Contract.* I have read and agree to all the terms. View the FYE Contract.