LLN Chapter Applications

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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:
admin@llnccc.org

For questions please contact your Regional Area Representative: https://llnccc.org/board/

Email *

Application's Full Name *

First and last name

Current Title *

Faculty

Staff

Student

Administrator

Other:

Are you currently an LLN Member? *

Yes

Interested in becoming a member

Phone number *

Name of California Community College (CCC) *

College Mailing Address *

What area is your college located? *

Northern California

Central California

Southern California

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)

Required

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