LLN Chapter Applications
If you are interested starting an LLN Chapter on your campus. Please complete the form below.
Please submit your chapter application payment to:
Mail Check or Money Order to:
Latina Leadership Network of CA Community Colleges
P.O. Box 5312, Santa Maria, CA 93456
Make payment online via Paypal:
For questions please contact your Regional Area Representative:
Application's Full Name
First and last name
Are you currently an LLN Member?
Interested in becoming a member
Name of California Community College (CCC)
College Mailing Address
What area is your college located?
What type of Chapter are you interested in starting?
LLN Professional Chapter $100.00 (annual)
LLN Student Club Chapter $50.00 (annual)
Inquiring about a Fee Waiver (student chapters only)
Never submit passwords through Google Forms.
This form was created inside of Latina Leadership Network of the California Community Colleges.