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DESTINO STEM Interest Form

The DESTINO STEM Program is designed to support STEM students with resources and services to help them earn their degrees and transfer to a 4-year university. As a DESTINO student, you’ll have access to:

  • A dedicated STEM Counselor
  • Mentoring through Student Success Coaches
  • STEM-focused Career and Academic Success Workshops
  • Tutoring in STEM Courses
  • Use of the Science Resource Center
  • Updates on upcoming DESTINO opportunities
All program activities and services are free for participants. 

If you are interested in receiving updates on what is happening at DESTINO or would like to schedule a counseling appointment with a DESTINO counselor, complete this form. Please allow 5-10 minutes to complete the entire interest form. Our program staff will contact you as soon as your interest form has been reviewed. 

If you have any questions, send me an email at rolmos@lbcc.edu.
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Name (First Name & Last Name) *
LBCC Viking ID *
Email *
Phone Number *
Date of Birth *
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DD
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What is your ethnic/racial background? *
Are you a Veteran of the U.S. Armed Forces? *
Name of Last High School, Month, and Year of High School Graduation or Completion *
If you attended a college prior to LBCC please list college below (if LBCC is the only school write N/A): *
How many units are enrolled in for this semester? *
What is your major? *
Would you like to schedule a DESTINO counseling appointment? *
If yes, what would you like to discuss with the counselor? 
Do you have any additional questions or concerns? 
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