Student Life – Student Profile

You only need to complete this form once. Sharing your information helps us keep future check-ins quick and focused on your needs.

Any identifying information will be confidential and stay within Student Life. We encourage you to share this information as we will use it to track trends.

This helps us:

Understand what students are looking for and the challenges they face
Improve Student Life programs, events, and resources
Tell the story of why these supports matter and where funding is needed

Your input helps us advocate for students and provide the right support at the right time.

Full Name

First NameLast Name

Preferred Name

CGCC Student Number

CGCC Student Email

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Create a PIN with 1–8 digits; your PIN cannot start with a 0

Create a Pin

Make sure this is something you can remember

Oregon resident?

Gender Identity

Pronouns

Other

Age Group

Current Program

Do any of these apply to you? (Select all that apply)

Do you currently receive any of the following financial aid? (Select all that apply)

Do you or anyone in your household currently receive any of the following? (Select all that apply)

Race/Ethnicity (select all that apply)

Primary language spoken at home

Other

Military or veteran status

Do you consider yourself part of a queer or gender-diverse community?

First-generation college student?

Are you a parent or caregiver for a child/children?

Do you have a disability or health condition that impacts your daily activities?

Is there other information you’d like to share about yourself, your identify, or anything that would help us better support you at CGCC?