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CONTACT US

909/652-6349

909/652-6358
909/652-6342 FAX

eops@chaffey.edu

The EOPS office is located in the Michael Alexander Campus Center MACC-205. The office is above the cafeteria.

Click here to access the map...


SCHEDULING APPOINTMENTS

SUMMER 2014

Please contact our office for available appointment times







eops


Foster Youth Specialized Counseling Services
INTEREST FORM


Thank you for your interest in the Foster Youth Specialized Counseling Services. Your information will be kept for future reference. You will be contacted by our office to give you further information on the Foster Youth services available.

For Information, call: 909-652-7861
E-mail: eops@chaffey.edu


   

Date Form Submitted
*
   
  Contact Information

First Name
*
  Last Name
*
  Street Address
*
  City
*
  State
*
  Zip
*
  Phone/Extension
*
  E-Mail Address
*
  Student ID Number
*
   
  Background Information
Please select "yes" or "No" as it applies:
  Are you currently in the EOPS program?
Yes  No *
  Have you submitted acceptable forms of documentation to BOTH Financial Aid and EOPS?
Yes  No *
  ACCEPTABLE FORMS OF DOCUMENTATION ARE:
  • Transitional Independent Living Plan (TILP) with your formal name.
  • Court reports indicating your status as a ward of the court.
  • Any document from the Department of Social Services Independent Living program with your formal name.
Your ILP Coordinator, your After Care Services Worker, your former Social Worker or The California Department of Social Services can verify your foster youth eligibility status.
   
 
  * Entry required in this field
   
 
   






Rev. 10/14/13


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