Document 13000205

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LIFE EXPERIENCES OR SPECIAL CIRCUMSTANCES
SUPPORTING DOCUMENTATION
(To Be Completed for Prescreening Criteria 6(c) or 6(f)
Applicant: If applicable, complete your Life Experiences or Special Circumstances below. Please print or type.
I _____________________________________, acknowledge by my signature below, that the information on this
form is correct and true.
Signature____________________________________________________________________
Date________________________________________
Student ID___________________________________
First generation to attend college. Briefly explain your situation or circumstances.
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Difficult personal or family situation/environment.
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