CWEE Online Information Form
Which semester or session? Fall Wintersession Spring Summer Job: volunteer, or paid? Paid Job Volunteer Today's date mm/dd/yy Are you receiving financial aid this semester? Yes No Are you taking at least 7 units, including CWEE (excluding Summer and Winter session)? Yes No
Student name: last first middle initial
Social Security Number
Street address City Zip
Home phone Work phone Pager/cell
Best time & place to reach you
Are you signing up for General, Career, or Service Learning CWEE? General Career Service Learning Major Concurrent class in major CWEE Class CWEE Section # # of CWEE units Total # of units this term, including CWEE Prior CWEE units completed Prior CWEE Instructor
Employer/Business Name (if known) Street address City Zip Supervisor's name Title Phone Supervisor's email Student job title Job description/duties Average Weekly Total Hours
I understand that all materials and information submitted by me for the purpose of enrollment in the CWEE Program become the property of Cabrillo College. I also understand that falsification of information, or failure to report a change in employment status, may result in being dropped from the program. This electronically transmitted copy of my signature represents my intention to participate in CWEE. All of the information I have provided on this application is true.
Type your legal name
Please enter your email address Submitting this form does not mean that you are registered at the college! You must take the Add Slip given to you in this Orientation and register with the college.
If you have questions or need additional information, contact Leslie Read or the CWEE Office in 2100B, lower campus. Office hours are Mon-Thurs 1-4 pm. The office phone is 831.477.5650.
