APASS Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

APASS Interest Form

The interest form will provide you updated information on APASS events & opportunities and further instructions to be part of the APASS cohort, community, or student organization. For additional questions, feel free to contact us at apass@lahc.edu

Sign in to Google to save your progress. Learn more

* Indicates required question

First Name *

Your answer

Last Name *

Your answer

LACCD Student ID Number (9 Digits) *

Your answer

Email *

Your answer

Phone Number *

Your answer

Career Goal *

Your answer

Educational Goal *

Transfer

Associate

Certificate

Unsure

Other:

Required

Ethnic Background *

Your answer

What would you like to learn about Asian Pacific Islander culture? *

Your answer

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy