Transcription of SECTION A - PERSONAL INFORMATION - Nassau …
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09/2021 SECTION A - PERSONAL INFORMATION1) Name Last (Family) _____ First _____ Middle _____ Previous name (if applicable):Last (Family) _____First _____Middle _____ 1A) Preferred First Name _____ Your Social Security Number (Enter your United States of America Social Security Number (SSN). Your SSN is used to coordinate the collection of INFORMATION for all your student records. Authority to collect the SSN is granted under SECTION 355 of the New York Education Law. Your response will be held confidential. Please double check the number for accuracy. This is required if you are applying for need-based financial aid.) 2) Permanent Address:Number and Street _____Apt.
as a disabled or Vietnam-era veteran in admissions, employment and treatment of students and employees. Area Code / ... q Attended a New York State high school for 2 or more years 4. ... I understand that if I was born on or after January 1, 1957, I must provide
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