Completing this form does not guarantee acceptance into the SSS program. Date: * Name: * Mailing Address: * City, State and zip * Phone number to contact you: * Email address to contact you: * Referred by: * Please check YES or NO for the following questions, then select the SUBMIT button at the bottom of the form. I have applied to Weatherford College? Yes No I plan on graduating from Weatherford College? Yes No My parent(s) have a four-year college degree. Yes No I completed the Financial Aid Application (FAFSA). Yes No If YES, did you qualify for financial aid? Yes No I have documented disability (physical or educational). Yes No If YES, have you registered with WC's Office of Disabilities? Yes No I Don't Know