Basic Information Last Name * First Name * SF State ID * Contact Information Home Phone Number Cell Phone Number * City * Zip Code * SF State Email Address * Receive emails on important messages * YES NO By checking yes, you agree to allow the Division of Undergraduate Education and Academic Planning Tutoring Services to include your email in our monthly newsletter. By doing so, you will receive important messages regarding: upcoming events, our services, and job opportunities. Your email will never be used for any other purpose and will never be disclosed to third parties. If you marked yes, you will have the option to remove yourself from the email list at any point. Background Information Ethnicity * - Select -American Indian/Alaskan Native - 1African-American/Black - 2Asian Indian - RCambodian - MChinese - CJapanese - JKorean - KLaotian - LThai - TVietnamese - VOther Asian - 5Other Southeast Asian - SFilipina/o - FGuamanian - GHawaiian - HSamoan - NOther Pacific Islander - 6Central American - ACuban - QMexican-American, Mexican, Chicano - 3Puerto Rican - PSouth American - BOther Latino, Spanish origin, Hispanic - OBi-racial / Multiracial - XCaucasian, White (Non-Latino) - 7Other - 8Decline to State - 9 If you were born in another country, how many years have you been in the United States? Native Language / Home Language * Are you 17 or younger? * YES NO Gender * (Please specify) EDUCATION INFORMATION Major * Current class level * - Select -FreshmanSophomoreJuniorSeniorGraduate Class level when you entered SF State * - Select -FreshmanSophomoreJuniorSeniorGraduate Are you a first generation college student? YES NO Are you a transfer student? YES NO If so, when did you transfer? Which college or university did you transfer from? Other Information How did you learn about our services selectBox - None -In-Class PresentationWorkshopWebsiteFlyerCampus TV/MonitorFriend Referral Teacher Referral (Please specify) Other (Please specify) Programs that you have participated in CARP LAC ETC DPRC EOP Summer Bridge ICCE TRIO (SSS) Metro Once you submit this registration form, a CARP staff member will confirm your registration within one week. Note that you cannot make an appointment or sign-up for a workshop through this form. To make an appointment, please come to HSS 344 or call (415)405-0971 during our tutorial hours. To sign-up for a workshop, stop by HSS 346 during our office hours or use our online sign-up form here . Please bring your SF State ID card during your first visit to CARP. You will not be able to receive tutoring or attend a workshop until a CARP staff member checks your SF State ID. Submit