%PDF-1.7 % 1 0 obj <> endobj 2 0 obj <> endobj 3 0 obj <> endobj 4 0 obj <>/MediaBox[ 0 0 612 792]/Parent 2 0 R /Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/Tabs/S/Type/Page>> endobj 5 0 obj [ 6 0 R 10 0 R 12 0 R 16 0 R 21 0 R 26 0 R 29 0 R 32 0 R 35 0 R 37 0 R 38 0 R 40 0 R 41 0 R 43 0 R ] endobj 6 0 obj <>/DA(/Helv 10 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 427.362 605.133 446.70901 627.33301]/Subtype/Widget/T(MI)/TU(M.I)/Type/Annot>> endobj 7 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 8 0 obj <> endobj 9 0 obj <> endobj 10 0 obj <>/AP<>/DA(/Helv 10 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 32.0728 569.15997 147.927002 592.91998]/Subtype/Widget/T(Peralta Student ID)/TU(Peralta Student ID)/Type/Annot>> endobj 11 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 12 0 obj <>/AP<>/DA(/Helv 10 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 356.39999 568.56 517.56 592.32001]/Subtype/Widget/T(Telephone Number)/TU(Telephone Number)/Type/Annot>> endobj 13 0 obj <> endobj 14 0 obj <> endobj 15 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 16 0 obj <>/DA(/Helv 10 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/MK<<>>/P 4 0 R /Rect[ 119.268997 363.23999 329.06201 387]/Subtype/Widget/T(Print Name)/TU(First and Last Name)/Type/Annot>> endobj 17 0 obj <>/Subtype/Form/Type/XObject>>stream x+ endstream endobj 18 0 obj <> endobj 19 0 obj <> endobj 20 0 obj <> endobj 21 0 obj <>/AP<>/DA(/Helv 10 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/MK<<>>/P 4 0 R /Rect[ 280.12 298.20001 333.19299 321.95999]/Subtype/Widget/T(Date)/TU(Date)/Type/Annot>> endobj 22 0 obj <> endobj 23 0 obj <> endobj 24 0 obj <>/Subtype/Form/Type/XObject>>stream x+ endstream endobj 25 0 obj <> endobj 26 0 obj <>/DA(/Helv 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 4 0 R /Rect[ 31.4557 604.909 217.959 627.10901]/Subtype/Widget/T(Last Name)/TU(Last Name)/Type/Annot>> endobj 27 0 obj <>/Subtype/Form/Type/XObject>>stream x+ endstream endobj 28 0 obj <> endobj 29 0 obj <>/DA(/Helv 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 4 0 R /Rect[ 252.063 604.815 391.29599 627.01599]/Subtype/Widget/T(First Name)/TU(First Name)/Type/Annot>> endobj 30 0 obj <>/Subtype/Form/Type/XObject>>stream x+ endstream endobj 31 0 obj <> endobj 32 0 obj <>/DA(/Helv 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 4 0 R /Rect[ 36.240002 298.427 277.293 320.427]/Subtype/Widget/T(Student Signature1)/TU(Student Signature)/Type/Annot>> endobj 33 0 obj <>/Subtype/Form/Type/XObject>>stream x+ endstream endobj 34 0 obj <> endobj 35 0 obj <>/C[ .97254902 .392151 .392151]/Contents(In addition, the student must sign, in the presence of the institutional official, the Statement of Educational Purpose provided below.)/CreationDate(D:20250724081736-07'00')/F 4/M(D:20250724081736-07'00')/NM(fac1625c-107f-46c8-8185-42cb62e20368)/P 4 0 R /Popup 37 0 R /QuadPoints[]/RC(
In addition, the student must sign, in the presence of the institutional official, the Statement of Educational Purpose provided below.
)/Rect[ -32768 -32768 32768 32768]/Subj(Cross-Out)/Subtype/StrikeOut/T(Jackie Vo)/Type/Annot>> endobj 36 0 obj <>/Subtype/Form/Type/XObject>>stream x3г4725T034245D0ܹ Z| endstream endobj 37 0 obj <> endobj 38 0 obj <>/C[ .97254902 .392151 .392151]/Contents(Statement of Educational Purpose: \(To Be Signed in the presence of the Institutional Official)/CreationDate(D:20250724081744-07'00')/F 4/M(D:20250724081743-07'00')/NM(f3dc2b39-5b37-4579-8b2a-032bbd3e89c3)/P 4 0 R /Popup 40 0 R /QuadPoints[]/RC(Statement of Educational Purpose: \(To Be Signed in the presence of the Institutional Official
)/Rect[ -32768 -32768 32768 32768]/Subj(Cross-Out)/Subtype/StrikeOut/T(Jackie Vo)/Type/Annot>> endobj 39 0 obj <>/Subtype/Form/Type/XObject>>stream x3г4725T034245D0ܹ Z| endstream endobj 40 0 obj <> endobj 41 0 obj <>/C[ .97254902 .392151 .392151]/Contents(Purpose)/CreationDate(D:20250724082208-07'00')/F 4/M(D:20250724082208-07'00')/NM(b70309e1-27e9-4a49-a6a1-f94f33d78160)/P 4 0 R /Popup 43 0 R /QuadPoints[]/RC(Purpose
)/Rect[ -32768 -32768 32768 32768]/Subj(Cross-Out)/Subtype/StrikeOut/T(Jackie Vo)/Type/Annot>> endobj 42 0 obj <>/Subtype/Form/Type/XObject>>stream x3г4725T034245D0ܹ Z| endstream endobj 43 0 obj <> endobj 44 0 obj <>stream x\Yo$7~ׯ /W47:<[j]\*F̬}%%3ɫM^~q3vrbל}y<Ƃ{.gM$X#LHWY[Pyv