Extended Opportunity Program & Services (EOPS)/CARE/CAFYES - EOPS Interest Form

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Extended Opportunity Program & Services (EOPS/CARE/NextUp)

EOPS Interest Form

Thanks for your interest in EOPS! Please complete and submit the form below. If you are eligible to apply, you will receive a link to the EOPS application within one business week. Go to the EOPS Eligibility Requirements Page to view EOPS eligibility requirements.

First Name:
Last Name:
Student ID Number:	Your nine-digit student ID, beginning with either 88 or 90.
Contact Phone Number:	( ) - Second three digits Last four digits The best number to reach you via phone call.
Student Email Address:	Please use your LACCD email address ending in @student.laccd.edu
How many units are you currently enrolled in at LA City College?:
Are you a current or former Foster Youth?: Yes No
Have you applied for Financial Aid or a Fee Waiver?: Yes No
Are you in FYE or Promise program at LACC?: Yes No
Have you attended other colleges or universities outside of Los Angeles Community College District?: Yes No