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Form Enrollment Affidavit101 (Rev. 2017)Purpose of this form: Use this form to advise CCC ERA that you are a new employee or a rehire that might be eligible for CCC ERA membership. NOTE: The original

How to fill out enrollment affidavit

How to fill out enrollment affidavit

1. Start by obtaining an enrollment affidavit form from the appropriate educational institution or agency.
2. Read the instructions on the form carefully to understand the information required and the process for filling out the affidavit.
3. Provide the necessary personal information, such as full legal name, date of birth, and current address.
4. Include the details of the educational institution or program you are enrolling in, such as its name, address, and contact information.
5. Indicate whether you are enrolling as a full-time or part-time student.
6. Specify the course of study or program you will be pursuing.
7. If applicable, provide previous educational history, including any degrees or diplomas obtained.
8. Sign and date the affidavit, certifying that the information provided is true and accurate to the best of your knowledge.
9. Submit the completed enrollment affidavit to the designated entity according to the instructions provided.

Who needs enrollment affidavit?

1. Individuals who are enrolling in an educational institution or program may need to fill out an enrollment affidavit.
2. This includes students applying for admission to schools, colleges, universities, or vocational programs.
3. Enrollment affidavits may also be required for individuals participating in distance learning or online courses.
4. Some government agencies and organizations may also require enrollment affidavits for specific purposes, such as eligibility verification.

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