Southwestern Community College AEL Needs Assessment
Distance Learning Technical Survey
Applicant Agreement and Release of Information Consent
I certify the information I have provided during this application process is true to the best of my knowledge.
I agree to provide all the proper proof and documentation to Southwestern Community College AEL program for eligibility determination purposes. I am also aware the information I provide may be reviewed and verified and that I may have to provide additional documents to support this information. By typing my name in the box below, I allow release of this information for documentation purposes and to gain further information for eligibility purposes.
Further, I understand this information will be used to determine my eligibility for AEL Technology Lend program and for the services that SWCC’s AEL Program could provide. I understand that each application is reviewed and approved on an individual basis and may not reflect what others have received. I authorize the use of my Social Security Number as an identifier for the program.
SWCC acknowledges that an applicant’s employment status could change after being enrolled.
By entering my name below, I agree to the above statement.