EOPS/CARE/NextUp & CalWORKs Online Application

Company

This field is for validation purposes and should be left unchanged.

General Information

Type in your TC A-number starting with "A"*

Please provide your most current phone number*

Date of Birth*

Marital Status:*

What is the primary language spoken at home?*

Please only indicate one language.

NextUp Application

Please provide a copy of your ward of court/dependency verification letter. If you do not have a copy, please contact the NextUp Department (661-763-7723) for assistance in obtaining a verification letter.

Max. file size: 24 MB.

CARE/CalWORKs Application

Educational Background

Please list each name of each school attended:*

How many college/university units have you completed?*

Please enter a number from 0 to 150.

Applicant Signature: I certify that the information provided on this form is true and accurate to the best of my knowledge. I agree and understand that any falsification or misrepresentation of facts or information may be cause for rejection of the application and/or termination from the EOPS, CARE & CalWORKs Programs at Taft College. By signing this application, you are giving consent to the Taft College EOPS/CARE & CalWORKs Programs to access your college records to process your eligibility and will continue to grant access if accepted into the program. You are also agreeing to utilize electronic signatures in lieu of using paper documents. You may request a copy of your completed application at any time from the Taft College EOPS staff. You are not required to sign documents electronically. If you prefer not to do so, you may request a paper application at any time.*

Today's Date*

This field is automatically populated.