2024-2025 SBCC Umoja Community Application

Hello Umoja Applicant! We are happy you are here!

All students interested in joining the SBCC Umoja community must complete this form in its entirety. Please take your time, as this information will help us support you throughout your journey at SBCC.

Once your form is completed, you will receive an email from Umoja Student Program Advisor/Coordinator Lelia Richardson with the next steps. If you have any questions, needs, or concerns, please reach out via email at Lnrichardson@pipeline.sbcc.edu or stop by the village space in the CESJ, located in the Campus Center.

In Wellness,
Lelia Richardson
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What is your Pipeline Email? *
What is an alternate email address for you? *
What is your First and Last name? *
Your is your K# *
What is your age? *
What is the best number to reach you at? 
Please use the following format (Area Code) XXX-XXXX
 *
Which city do you call home? *
What is your current address? *
What is your major? *
Is there a family member, mentor, or close friend that you consent to our Program Advisor/Coordinator Lelia Richardson, contacting about your successes, achievements, and or challenges?  

If so, please provide their name and contact information below.
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Where are you currently in your journey at SBCC? *
Do you have any critical or urgent needs right now? Needs such as housing support, access to food, Financial Aid help, clothing, transportation, or access to mental health resources? If so, please share below, or ask for a follow up call.  *
Do you need support finding community resources such as a barber, braider, church home or spiritual services, childcare, school for dependent children/siblings, employment...? 

Please share below.
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What is your academic goal (Check all that apply) *
Required
When do you plan on completing your goals at SBCC? *
Please list any four-year colleges, universities, trade schools, or career industries you are interested in learning more about. *
Please share what you know about Historical Black Colleges and Universities (HBCUs). *
Are you interested in learning more about HBCUs and the California Transfer Guarantee Program? *
Are you interested in attending a HBCU tour in Spring 2025? *
Please share which English classes you have completed.  Check all that apply. *
Required
Please share which college level math class you have taken? *
Have any of the following support services helped you on your educational journey? Check all that apply. *
Required
Have you seen an academic counselor at SBCC *
How do you like to identify?  (Check all that apply) *
Required
Do you have preferred pronouns? *
Are you interested in learning more about the following SBCC programs below? Check all that apply. *
Required
Are you interested in being a member of Black Student Union? 
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Are you interested in participating in the Study Abroad Program at SBCC? *
Are you interested in being a member of Black STEM/STEAM (Science, Technology, Engineering, Art)? *
Are you interested in learning more about leadership opportunities in Umoja? *
Are you interested in Sister Circle or Brothers Circle activities? *
What activities, events or trips would you like to see?
Do you have a service, business, talent, or experience that you would like to share with our community? Are you a barber? Braider? Massage therapist? Entrepreneur? Licensed childcare provider? Wellness Coach? Creative? Tutor? 

Please share below.
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What is your shirt size? *
Is there anything else you would like to share with us?
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