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FAFSA

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CADAA

Fill out and submit the California Dream Act Application (CADAA) if you are an undocumented student.

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: Assurance Learning Academy
Type Of Organization: High School
Address: 4355 Roscoe Blvd Two story red brick building (second floor) , Panorama City , CA 91402
Phone #: 8284524683 Ext:

Workshop Details:

Start Date: 10/14/2017 Start Time: 11:00 AM End Time: 2:00 PM

Workshop Description:

Services Offered: AB540/CA Dream Act assistance
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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