• Female
  • Male


  • Not Hispanic/Latino
  • Hispanic/Latino

Race (Choose one or more)

  • American Indian or Alaska Native
  • Asian
  • Black or African American
  • Native Hawaiian or Other Pacific Islander
  • White

Is English your first language?

  • Yes
  • No

Have you attended Chipola before this term?

  • No
  • Yes

Academic Level

  • Freshman
  • Sophomore

Do you already have an Associate of Arts degree or higher qualification?

  • No
  • Yes

Have either of your parents or custodial/legal guardians, with whom you lived, received a Bachelor's Degree (4-year) in the U.S. before your 18th birthday?

  • Yes
  • No

Would you like to receive text messages regarding your application and important dates/deadlines?

By selecting yes, you agree to opt-in to Chipola College text message application alerts. These text messages will be limited to information about your application and important dates/deadlines. If you would like to opt-out of this program at any time, simply text the word STOP. Please be advised that message and data rates may apply.

  • Yes
  • No

Have you applied for Financial Aid?

  • Yes
  • No

If yes, what is your status?

  • I have been awarded
  • I have not heard yet
  • I am in the process of verification
  • I am in the appeal process

I have received my award letter and will be receiving?

  • Pell
  • Bright Futures
  • Take Stock in Children
  • CC Foundation Scholarship
  • FSAG (FL Student Assistant Grant)
  • Unsubsidized Student Loan
  • Subsidized Student Loan
  • SEOG (Supplemental Educational Opportunity Grant)

What is your dependent status?

  • Dependent
  • Independent

Do you have a physical or learning disability which requires special accommodations for you to succeed academically, and about which you would like to voluntarily give information for purposes of coordinating our services with the Disability Support Services office if appropriate?

A copy of any document that states the type/extent of your disability must be submitted to the SSS office or on file in the Chipola Disabilities Office if you desire any form of accommodation.

  • No
  • Yes

Have you signed up with Chipola's Disability Office in the Student Services building?

  • Yes
  • No

Check the services you need

  • Academic Advisement
  • Career Counseling
  • College Success Skills
  • Tutoring
  • Transfer Counseling
  • Mentoring
  • Financial Aid Information
  • Personal Counseling