SCC MESA VIP Spring 2026 Intake Form
Intake form due by February 20, 2026

Hi! Welcome to Sac City College's MESA Program Intake form! This form is for new and continuing MESA students and will take a maximum of 30 minutes to complete. If you're new to MESA, after you complete this form your next steps are to 1) Submit proof of financial aid and 2) Complete a MESA Orientation.

If you're a continuing MESA VIP Scholar, welcome back! 

If you aren't interested or available for MESA VIP and would like to be added to the MESA Community Canvas Page, please send an email to sccmesaclerk@scc.losrios.edu
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Last Name *
First Name *
Los Rios Student ID Number (without the W) *
Los Rios email address (example: "w1234567@apps.losrios.edu") *
Personal Email Address *
Cell Phone Number *
Your Pronouns *
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