Los Angeles City College

Ralph Bunche Scholars Program

Due to COVID-19, office hours will be restricted.
Please email Danielle Muller for more information: mullerdn@lacitycollege.edu

Request CSU GE Breadth Certification
For transferring to California State Universities

Request IGETC Certification
For transferring to University of California campuses

First Name:
Last Name:
Student ID:	Your LACCD student ID number, beginning with 88 or 90.
Student Email Address:	Your student email address ending in "@student.laccd.edu"
Confirm Email:
Personal Email:
Phone Number:	( ) - Second three digits Last four digits Your preferred contact number.
Date of Birth:
Gender Identity:	Female Male Trans woman/ Trans female Trans man/ Trans male Genderqueer or Nonbinary Other

Are you a first-generation college student?: Yes No (Neither parents have a 4-year college degree)
Are you a student on an F-1 Visa?: Yes No
Are you a member of the Dream Resource Center (DRC) which serves and supports undocumented/AB540/DACA students at LACC?: Yes No No, but I would like to be!
Application Type: High School Applicant (HS Senior or recent graduate) College Applicant

Intended Major at LACC:	If unsure, type “Undecided”
Career Goal:	If unsure, type “Undecided”
Projected Transfer Term:	Semester and year you intend to transfer to or attend a 4-year college
List up to 3 colleges or universities you are interested in transferring to:
Are you interested in or considering any of the following: Law school Medical school Doctoral program (PhD/PsyD)


I acknowledge that I have read and meet the requirements for admission to the Ralph Bunche Scholars Program: I Agree
I have reviewed and understand the Ralph Bunche Scholars Program Requirements: I Agree
By submitting this application, I grant permission for RBS staff (Program Director and Honors Counselors) to review my academic record and application materials: I Agree
To the best of my knowledge, the information provided is true and accurate. I have reported my full academic history and provided authentic documents: I Agree


Did you complete any Advanced Placement (AP) or International Baccalaureate (IB) exams in high school?: Yes No

	Letters of recommendation are used to gather more information about you as a potential RBS scholar. Preferably, your letter of recommendation is from an individual that has been in an academic relationship with you (i.e. a professor, academic counselor, etc.)
Please Upload a Letter of Recommendation:	You can submit your application with other required materials now and provide the Letter of Recommendation at a later time (Email: LACC-RBScholars@lacitycollege.edu )