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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: College Success Summit
Type Of Organization: Other Community Partners
Address: 2200 Virginia Ave. , Santa Monica , CA 90404
Phone #: 3104588688 Ext: 5474

Workshop Details:

Start Date: 10/19/2019 Start Time: 10:00 AM End Time: 2:00 PM

Workshop Description:

The Pico Neighborhood Partnership is a task-force comprised of stakeholders in the community to increase access and successful transition to higher education for underrepresented youth in Santa Monica. Last year we hosted over 100 youth and families at our 3rd Annual College Success Summit. Please note that this year, it'll be held at Santa Monica College.

Services Offered: Cal Grant and other financial aid overview
AB540/CA Dream Act assistance
Refreshments
Languages: English
Spanish
Scope: Open to community

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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