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St. Petersburg College Student Application

   

Personal Information

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First Name:

 

 

Middle Name:

 

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Last Name:

 

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Do you already have an SPC student ID number?

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Please type in your SPC student ID below:

 

Social Security Number:

If you do not have a SSN please enter all zeros. Example: 000-00-0000

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Country of Citizenship:

 

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Date of Birth:

 

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Information on ethnic origin, sex and age of students is VOLUNTARY and will not be used for discriminatory purposes.  

 

Please indicate your ethnicity by checking the appropriate box:

 

 

Please indicate your race by checking one or more of the appropriate boxes:

 

 

Gender:

 

 

If you have comments about this form or questions regarding how to complete this form, please contact SPC Admissions & Records Department at Admissions.Records@spcollege.edu or call (727)341-7141.

The Board of Trustees of St. Petersburg College affirms its equal opportunity policy in accordance with the provisions of the Florida Educational Equity Act and all other relevant state and federal laws, rules and regulations. The college will not discriminate on the basis of race, color, ethnicity, religion, sex, age, national origin, marital status, pregnancy, sexual orientation, gender identity, genetic information, or against any qualified individual with disabilities in its employment practices or in the admission and treatment of students. Recognizing that sexual harassment constitutes discrimination on the basis of sex and violates this Rule, the college will not tolerate such conduct. Should you experience such behavior, please contact the Title IX Coordinator and EEO Officer at 727-341-3055; by mail at P.O. Box 13489, St. Petersburg, FL 33733-3489; or by email at eaeo_director@spcollege.edu or spctitleix@spcollege.edu.