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Chafee

Fill out and submit the Chafee Application if you were in foster care for at least one day, between the ages of 16 and 18.

Site Information

Site Name: Impact Academy
Type Of Organization: High School
Address: 2560 Darwin St. , Hayward , CA 94545
Phone #: 5103001560 Ext:

Workshop Details:

Start Date: 11/09/2017 Start Time: 6:00 PM End Time: 8:00 PM

Workshop Description:

The desired outcome for this event is that by the time the night is over, all the families will have submitted their FAFSA/Dream Act applications successfully. We will begin in the auditorium with a 15 minutes presentation overview. Then families will be directed to specific rooms. There will be a designated AB 540/Dream Act/Community at large room. Depending on staffing, the goal is to have at least one bi-lingual volunteer (Spanish) per room

Services Offered: Cal Grant and other financial aid overview
AB540/CA Dream Act assistance
Child Care
Languages: English
Spanish
Scope:

Last Name *

First Name *

Middle Initial

Address Line 1 *

Address Line 2

City *

State

Zip Code *

Phone

EXT

Number of People Attending Workshop with you *

Mobile Phone

Email *

Confirm Email *

You will receive two separate emails containing a System ID and Temporary Password to complete your WMS User account.

* 1. What is your First Name?

* 2. What is your Last Name?

* 3. What is your personal email address? (Please list the email address you plan to use in your FAFSA or CADAA application. Please do not use your school email address!)

* Confirm email address

* 4. Phone Number

* Confirm Phone Number

* 5. When is your Date of Birth?

* 6. Home address
* Address Line 1

Address Line 2

* City

State

* Zip Code

* 7. What is the name of your High School?

* 8. What is your race/ethnicity? (Select all that apply)
American Indian or Alaskan Native
Asian
Black/African American
Hispanic/Latino/Latinx
Native Hawaiian or other Pacific Islander
White
Decline to Answer
Other

* 9. Will you be the first member of your family to attend college? Students with both parents or legal guardians who attended but did not graduate from a four-year college are considered a first generation college student. Yes No

* 10. Were you in foster care for at least one day between the ages of 16 and 18?
Yes No

* 11. Did you finish completing your application?
Yes No

* 12.How helpful would you rate this Cash 4 College Workshop?
Very Helpful
Helpful
Somewhat Helpful
Somewhat Unhelpful
Unhelpful
Very Unhelpful

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