Name
*
First Name
Last Name
Lancer ID Number
This is the 8 digit number that was emailed to you after you applied to PCC
Personal Email Address
*
Confirmation Email
example@example.com
PCC Email Address
*
Confirmation Email
example@go.pasadena.edu
Preferred Phone Number
*
What high school do/did you attend?
Which of the following do you identify with?
*
Black/African-American
Latina/o/x
Native American
Asian/Pacific Islander
White
Two or More Races
Other
This is my first time attending college
*
Yes
No, I have attended college previously and have completed more than 20 units of college coursework
No, I have attended college previously, but I have completed fewer than 20 units of college coursework
I will be the first in my family to complete a college degree
*
Yes
No
If you have not applied for Financial Aid through the FAFSA or California Dream Act Application would you like assistance in completing this process?
Yes
No
Comments
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