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

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

EOPS Interest Form (Please note, this is not the EOPS Application)

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