LBCC DREAM Services - Student Referral Form
Use this form to access resources for undocumented students at Long Beach City College. Include your information for assistance with applying to LBCC, financial aid, or need access to resources such as counseling, legal services, mental health, or assistance with food and housing. 

For immediate assistance, email us at:, or call (562) 938-4151. Your success is important us, and we look forward to supporting you. 

DREAM Services
Long Beach City College
Sign in to Google to save your progress. Learn more
Student Name (First, Last) *
Phone Number (preferably personal cellphone number) *
Personal Email  *
Does the student need assistance with:
Clear selection
If student has a seven digit student ID from LBCC, please include it here.
Is there anything you need specific help with? *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy