Shoreline

Enter your 10 digit Statewide Student Identifier (SSID) as assigned by the California Longitudinal Pupil Achievement Data System (CALPADS).
If you do not know this number, please check in with your academic counselor.

If you are a student currently at a California Community College, enter the unique ID assigned by the UC Transfer Admission Planner (UCTAP).
If you are not a student currently at a California Community College, skip this question and continue to the next one.

Do NOT use nicknames. Use uppercase/lowercase letters A-Z, periods, apostrophes, spaces, and hypens (e.g. D'Shaun)

enter your full middle name or the initial letter followed by a period (e.g. Smith or S. )

Do NOT use nicknames. Use uppercase/lowercase letters A-Z, periods, apostrophes, spaces, and hyphens (e.g. Wentworth-Howell)

Select the roman numeral that corresponds to your name suffix- if applicable.
I "Sr./Senior"
II "Jr./Junior"
III (the 3rd)
IV (the 4th)
V (the 5th)

Select the number that corresponds with your race/ethnicity.
01. African-American
02. American-Indian/ Alaskan Native
03. Chinese/Chinese-American
04. East Indian/Pakistani
05. Filipino/Filipino-American
06. Japanese/Japanese-American
07. Korean/Korean-American
08. Mexican/Mexican-American
09. Pacific Islander (includes Native Hawaiian, Micronesian, Polynesian, other Pacific Islander)
10. Vietnamese/Vietnamese-American
11. White/ Southwest Asian and North African
12. Other Asian (Not including Middle Eastern
13. Other Spanish-American/Latinx (includes Cuban, Puerto Rican, Central and South American)
14. More Than One
15. Other (not listed above)
99. Unknown/Unavailable/ Decline to State

8 digit format (mmddyyyy) enter your birth date.
Example: January 12, 2019
Type in as: 01122019

Select the number that corresponds with the education level of first parent/guardian.
1. Did not graduate from high school
2. High school graduate only
3. Some college but no four-your college/university degree
4. Four-year college/university graduate or higher
9. Unknown/Unavailable/ Decline to State

Select the number that corresponds with the education level of second parent/guardian.
1. Did not graduate from high school
2. High school graduate only
3. Some college but no four-your college/university degree
4. Four-year college/university graduate or higher
9. Unknown/Unavailable/ Decline to State

Select the number that corresponds with your identity
1. Female
2. Male
3. Non-binary
9. Not Listed: Specify

Select the number that corresponds with the language(s) spoken in your household.
1. English Only
2. Spanish Only
3. Asian-language group only
4. Other non-English only
5. English and Spanish
6. English and Asian-language group
7. Other bilingual
9. Unknown/Unavailable/Decline to State

Select the number that corresponds to your English-learner status.
1. I am an English learner
0. I am not an English learner
9. Unknown/Unavailable/ Decline to State

Select the number that corresponds to your household income situation.
1. I self-report as being eligible for one or more of the following during the reported academic year: a free/reduced-price meal plan, the Extended Opportunity Programs and
Services (EOPS), or a California Promise Grant (formerly known as BOG Fee Waiver/ Board of Governors).
0. I self-report as not being eligible for one or more of the programs listed above during the reported academic year.
9. Unknown/Unavailable/ Decline to State

Select the number that corresponds with your Financial aid (FA) Application status.
1. I completed a financial aid application for the following academic year, including the FAFSA, CA Dream Act, CalGrant, or California College Promise Grant (formerly
known as a Board of Governors/ BOG Fee Waiver).
0. I did not complete a financial aid application for the following academic year.
9. Unknown/Unavailable/Decline to State

Enter the full street address for the participant's permanent residence using only uppercase/lowercase letters AÔÇôZ, digits 0ÔÇô9, and special characters including commas, hyphens, number signs, periods, slashes, and spaces. Please do not include any nicknames or abbreviations.

An example: 1111 Franklin Street

Enter the full, official name of the city for the participant's permanent residence using only uppercase/lowercase letters A-Z, apostrophes, hyphens, periods, and spaces. Please do not use nicknames or abbreviations.

An example: Oakland

Enter the five-digit zip code of your home address (with leading zeros, if needed).
Ex: 01234

Enter the full email address for the participant using only uppercase/lowercase letters A-Z, digits 0-9, and special characters including hyphens, number signs, and periods. Please do not include any nicknames or abbreviations.

Please follow the format below using hyphens.
An example: 510-987-9061

Enter the 14-digit (with leading zeros, if needed) CDS code of most recently attended school
If you do not know this number, ask your academic counselor OR leave blank

Enter the 6-digit (with leading zeros, if needed) ATP code of school most recently attended.
If you do not know this number, ask your academic counselor OR leave blank.

Select the number that corresponds with your grade level.
00. Kindergarten or Preschool
01. First Grade
02. Second Grade
03. Third Grade
04. Fourth Grade
05. Fifth Grade
06. Sixth Grade
07. Seventh Grade
08. Eighth Grade
09. Ninth Grade
10. Tenth Grade
11. Eleventh Grade
12. Twelfth Grade
20. Community college student with an unknown number of transferable units completed
21. Community college student with less than 30 semester/ 45 quarter transferable units
22. Community college student with more than 30 semester/ 45 quarter but less than 60 semester/ 90 quarter transferable units
23. Community college student with 60 semester/ 90 quarter or more transferable units
30. Four-year college/university student with an unknown class level
31.Freshman at a four-year college/ university
32. Sophomore at a four-year college/university
33. Junior at a four-year college/university
34.Senior at a four-year college/university
35. Undergraduate with 5 or more years completed at a four-year college/university
41.Graduate/Professional/ Post-baccalaureate student
99. Unknown/Unavailable/ Decline to State

Enter your most recent cumulative grade point average (GPA).
Format: d.dd, where each d is one of the digit 0-9.
Ex: if you have a 3.0 enter your GPA as 3.00 instead

If you are in grade 12 or higher, select the number that corresponds to your 'a-g' completion status at a UC.
1. I did complete the minimum 15 year-long 'a-g' high school courses, with a grade of C or better in each course, by the end of the reported academic year.
0. I did not complete the minimum 15 year-long 'a-g' high school courses, with a grade of C or better in each course, by the end of the reported academic year.
9. Unknown/ Unavailable/ Decline to State

If you are in grade 12 or higher, select the number that corresponds to your 'a-g' completion status at a CSU. 1. I did complete the minimum 15 year-long 'a-g' high school courses, with a grade of C or better in each course, by the end of the reported academic year. 0. I did not complete the minimum 15 year-long 'a-g' high school courses, with a grade of C or better in each course, by the end of the reported academic year. 9. Unknown/ Unavailable/ Decline to State

In 6-digit format (mmyyyy), enter your high school graduation date.
Example: January 12, 2019
Type in as: 012019

Select the number that corresponds with your transferable English completion status.
1. I have completed all necessary CSU/UC-transferable English composition coursework with a grade of C or better in each course by the end of the reported academic
year.
0. I have not completed all necessary CSU/UC-transferable English composition coursework with a grade of C or better in each course by the end of the reported
academic year.
9. Unknown/Unavailable/ Decline to State

If you are at a community college, select the number that corresponds to your completion status of college-level, CSU/UC-transferable mathematics coursework.
1. I have completed all necessary CSU/UC-transferable mathematics concepts/quantitative reasoning coursework with a grade of C or better in each course by the end of
the reported academic year.
0. I have not completed all necessary CSU/UC-transferable mathematics concepts/quantitative reasoning coursework with a grade of C or better in each course by the end
of the reported academic year.
9. Unknown/Unavailable/ Decline to State

I give my permission for the Student Initiated Outreach Program to obtain information about my
academic performance from schools, school districts, and colleges, to give my name and address to
college and employer representatives.

Pre-SIOP Participant Information Form (2023-2024)

SIOP Participant Intake Form

SIOP Participant Intake Form

SIOP Participant Intake Form