Rhode Island College JAA Application

Personal Information

Legal First Name/Given Name

Chosen First Name

Middle Name

Last Name/Family Name/Surname

CCRI ID Number

Date of Birth

Permanent Address

Country

Street

City

Region

Postal Code

Do you have an alternate mailing address that you use to receive mail?

Yes

No

Please include that address here

Cell Phone Number

Email Address

CCRI Email Address

Legal Sex

My Gender

U.S. Armed Forces status

Current Dependent

Currently Serving

None

Previously Served

Are you Hispanic or Latino/a/x?

Yes

No

Regardless of your answer to the previous question, please indicate how you identify yourself. You may select one or more.

What languages are you proficient in, and what is your level of proficiency? (ie: Please specify first language, speak, read, write, spoken at home)

Select your citizenship status

Please list countries of citizenship

Visa Type

Are you or have you ever been in Foster Care?

Yes

No

Do you intend to apply for Financial Aid (FAFSA)?

Yes

No

College Education

As part of the JAA partnership with CCRI, please indicate information regarding your attendance.

Please list the college/university (including city and state of school) you most recently attended (there will be an option to include additional schools if you attended more than one college/university)

What is the total number of credits you have earned at CCRI to date? You can find this number on your transcript.

What is your CCRI GPA at this time?

Level of Study

Did you obtain or are you planning on obtaining a degree from this college or university?

Yes, I received my degree.

Yes, my degree is in progress.

No, I did not and will not receive a degree.

What degree are you pursuing/have you obtained?

When did you attend this college/university? (Please select the first and last terms you attended this institution, regardless of gaps in attendance)

First Semester

Last Semester

Did you attend and receive credit from another college/university?

Yes

No