Parent or Legal Guardian Signature for Applicants under the Age of 18

Tidewater Community College applicants under the age of 18 must provide their parent’s or legal guardian’s signature on the application for admission.

Student Name(Required)

First Last

Student ID Number(Required)

Date of Birth(Required)

Last four digits of Social Security Number(Required)

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Student ID Number

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Last four digits of Social Security Number_old(Required)

Please enter a number less than or equal to 9999.

The signature of a parent or guardian is required for TCC applicants under the age of 18.

Parent/Guardian Name(Required)

First Last

Parent/Guardian Signature(Required)