Promise Scholar ORCA Opportunity Enrollment 2022-23

Enrollment Form

Please complete the following form in order to either receive or continue using your free ORCA card as part of the ORCA Opportunity Program through the City of Seattle Department of Transportation.

You will not be able to use your free ORCA card during the 2022-2023 school year without completing this form.

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* 1. First and Last Name

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* 2. Seattle Colleges EMPLID Number

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* 3. Mailing Address (ex: 123 Main Street, Apt 6, Seattle, WA 98122)

Address Line 1

Address Line 2

City

State

Zip

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* 4. Which Campus do you attend?

South

Central

North

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* 5. Preferred email (optional)

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* 6. What is your race or ethnicity?

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Multiracial or Multiethnic

Native American or Alaska Native

Native Hawaiian or other Pacific Islander

White

Another race or ethnicity, please describe below

Self-describe below:

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* 7. Are you 18 years or younger?

Yes