CARES Jan 2022 CE

Laredo CARES Student Application Go Back

Student Name (First and Last Name):

Student PID#:

Phone Number:

Email Address:

Date of Birth

Residential Address(complete)

City

State

ZIP Code

Are you a U.S Citizen? (Select from the dropdown menu)

If not a U.S Citizen, are you authorized to work in the U.S? (Select from the dropdown menu)

Highest level of education (Select from the dropdown menu)

Are you a single parent? (Select from the dropdown menu)

Are you a U.S Military Veteran? (Select from the dropdown menu)

Desired Program (Select from the dropdown menu)

Were you laid-off due to the pandemic? (Select from the dropdown menu)

Were you furloughed due to the pandemic? (Select from the dropdown menu)

Are you underemployed? (working less hours and/or working same hours for less pay)

Self-Attestation

I hereby confirm that I have been laid-off, furloughed, or underemployed due to the COVID-19 pandemic. I attest that the information I have provided is true and valid to the best of my knowledge.

Student Signature (full name or initials)