WOMEN AND CHILDREN SUCCEEDING
Application Inquiry Form
Applicants will be contacted for Q&A Sessions and Interviews
Name
*
First Name
Middle Name
Last Name
Birth Date
*
January
February
March
April
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December
Month
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31
Day
2023
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1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
E-mail
*
example@example.com
Mobile Number
*
Permission to receive texts?
Yes
NO
County of Residence
Please Select
Abbeville
Anderson
Greenville
Greenwood
Laurens
Oconee
PickensA
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about WACS?
*
WACS serves the following local colleges. Which college do you attend?
*
Please Select
not enrolled yet
Anderson University
Clemson University
Greenville Technical College
Piedmont Technical College
Southern Wesleyan University
Tri-County Technical College
USC Upstate
Other
If other, where do you attend?
What degree are you seeking?
*
Associate
Bachelor's
Are you a full-time college student? (12+ hours)
*
Yes
No
If you are not full-time now, do you plan to enroll full-time in the coming semester?
Yes
No
What is your cumulative GPA?
*
What career program are you studying?
*
*nursing, business, education, human services, etc.
What is your expected graduation date?
-
Month
-
Day
Year
Date
What are some of the barriers that you experience while in school?
*
*learning challenges, parenting, transportation, work, etc.
What is your career goal?
*
How many children do you have living in your home?
*
What are the ages of your children?
*
Check any benefits that you currently receive.
*
Section 8
TANF
SNAP (food stamps)
Utility Check
Medicaid
WIC
SC Childcare Voucher
WIOA
Which describes your employment status?
*
Full-time employee
Part-time employee
Unemployed
If working, where do you work?
Submit
Should be Empty: