I certify that the information on my personal information sheet is correct, and further, I:

• Will take placement and/or assessment tests as prescribed by the college/EOPS program.
• Will officially change address, phone number, subject major, etc., at the college's information desk in the Student Services Lobby.
• Will follow my student education plan (SEP) and will consult with an EOPS academic counselor prior to making any changes.
• AGREE TO HAVE THREE (3) CONTACT APPOINTMENTS WITH AN EOPS COUNSELOR FOR EACH ACADEMIC SEMESTER, FALL AND SPRING AND ONE TIME FOR SUMMER SESSION.
• Will contact my EOPS academic counselor, or EOPS office, when I encounter any academic or personal difficulties.
• Agree to attend the fall and spring orientation presentations as scheduled by the EOPS office. Orientation presentations ARE NOT counted as a counseling appointment.
• Hereby authorize the release of information by the EOPS staff pertaining to my academic status, financial need, or other pertinent information which would serve to benefit or enhance my educational goal and pursuits.
• IF THESE THREE APPOINTMENTS FOR EACH THE FALL AND THE SPRING SEMESTERS ARE NOT COMPLETED BY THE END OF EACH SEMESTER, AND NO MITIGATING CIRCUMSTANCES ARE ESTABLISHED, YOU COULD BE DROPPED FROM THE PROGRAM.
• By agreeing to adhere to the aforementioned above, our EOPS office agrees to provide you with a student educational plan (SEP) and the student support services as determined by your EOPS eligibility status on our program.

I certify that I have read and considered each statement carefully. Furthermore, I understand that failure to fulfill the EOPS Student Responsibility Agreement could result in my termination from the EOPS program, or other appropriate action, as determined by the EOPS director (e.g., withhold EOPS services).

This agreement is valid until I graduate or transfer, or withdraw from school for more than one semester, not including summer.