Stockton Scholars Student Referral Form
The Stockton Scholars program aims to triple the number of Stockton students entering and completing higher education. Please, fill out this form if you are interested in referring yourself as a student; or if you are an adult parent, teacher, or ally who wants to refer a young person to our organization for additional college access support*

*Our student support officer and team members can assist students with the following:

-Provide technical assistance to complete Stockton Scholars Class of 2019 Scholarship application
-Provide technical assistance with the online student registration portal for the scholarship application
-Provide 1:1 case management and additional college access guidance
-Provide assistance to complete and submit college applications by standing deadlines
-Provide assistance to complete and FAFSA or California Dream Act by standing deadlines
-Provide assistance to complete and edit personal statement drafts by standing deadlines
-Provide opportunities to participate in leadership development activities or workshops focused on college access
-Provide feedback and guidance on how to successfully implement a high school to college transition plan

Email address *
Who is the referring party? *
Referring Party Email *
Your answer
Referring Party Full Name *
Your answer
Referring Party Phone *
Your answer
The student needs help and support with ... (check all that apply) *
Required
Will student have reliable transportation to meet with a student support officer during the weekdays? *
Required
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