Application for El Paso Community College's RISE to the Challenge Program

1. RISE Program Application. Fill out and save changes. Email to: jmendo69@epcc.edu by attaching
this completed form to email.
Date: Click here to enter a date.
Name: Click here to enter text.
Address: Click here to enter text.
City:Click here to enter text. State: Click here to enter text. Zip: Click here to enter text.
Home Phone : Click here to enter text. Cell Phone: Click here to enter text.
Email Adress: Click here to enter text.
Science GPA: Click here to enter text.
Overall GPA: Click here to enter text.
Ethnicity: Choose an item.
Average Annual Household Income: Choose an item.
House Hold Size: Choose an item.
Are you a first generation college Student? Choose an item.
Do you qualify for financial aid? Choose an item.
List any honor societies or clubs you are a member of? Click here to enter text.
Write a 500 word essay describing your future academic plans, and the reasons why you want to
participate in the RISE program:
Click here to enter text.