SOAR Application

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By adding my name to this form-I hereby certify that the above information is true and correct to the best of my knowledge. I also grant permission for the S.O.A.R. Program of Mayland Community College to have access to my financial and academic records. If admitted to the S.O.A.R. Program, I understand that it is my responsibility and obligation to meet with my assigned counselor before withdrawing from college.
*Privacy Act and Non-discrimination policy
In accordance with the Privacy Act of 1974 (Public Law No. 93-579, 5 U.S.C. 552a), you are hereby notified that the Department of Education is authorized to collect information to implement the Student Support Services Program under Title IV of the Higher Education Act of 1965, as amended (Pub. Law 102-325, Sec. 402D). In accordance with this authority, the Department receives and maintains personal information on participants in the Student Support Services program. The principal purpose for collecting this information is to administer the program, including tracking and evaluating participant progress. Providing the information on this form, including a social security number (SSN) is voluntary; failure to disclose a SSN will not result in the denial of any right, benefit or privilege to which the participant is entitled. The information that is collected on this form will be retained in the program files and may be released to other Department officials in the performance of their official duties. **Mayland Community College prohibits discrimination and harassment in its educational services, programs and employment based on race, color, creed, religion, national origin, gender, gender identity, gender expression, sexual orientation, age, disability, genetic information and veteran status. Please see www.mayland.edu/titleix for more information.