San Jacinto College
Automotive Technology Candidate Application

Note: This application cannot be saved in progress. Do not start the application if you cannot finish it in one sitting. It should take approximately 15 minutes to complete.

Social Security Number
or SJCD Student ID Number:
(Note:Do not use hyphens. Your SSI can be submitted only once . Call 291-991-2633 for technical assistance.)
Program applying for:
Semester applying for:
Today's date:
Last name:
First name:
Middle name:
Date of birth:
Home telephone number: - -
Work telephone number: - -
E-mail address:

Current Address (Where you live now)
Resident address
(number / street / apartment):
City:
State:
Zip code:

Education:
1. High school from which graduated:
  Name of high school: