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Puente Program Interest Form
Hello Future College Graduate!!! Thank you for your interest in being part of the Puente program family at Long Beach City College. If you're interested in transferring to a UC, CSU or Private school, this is the program for you. Please take your time to complete this entire interest form. Once we receive this form completed, I will follow up with an email or a phone call. We are excited to help and guide you to achieve your academic and career goals.

* This information is private, that will only be read by Puente Counselor Vidal Vargas and Puente English professor Darya Iserhien.
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Student Information
First and Last Name *
LBCC Student ID Number *
Email Address *
Phone Number *
Home Address *
Educational Background
High School Graduate *
Name of High School & Year Graduated or completed. *
Any other college (s) attended? *
Financial Aid / Work Information
Do you qualify to receive Financial Aid? *
Are you a First-Generation College student? *
Are you an AB540 or Dreamer student?
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Are you planning on being a full-time student in Fall 2022 & Spring 2023? *
Will you be working while attending school? *
General Questions
Please take your time to type your responses.
What is your career goal and / or major? *
If you have not chosen a career or major, that's ok. Let us know what careers and/or majors sound interesting to you.
What college/university do you plan to transfer to? *
If you're interested in more than 1, list all of the school names.
Describe briefly why you would like to be part of the Puente program? *
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