LBCC DREAM Services Student Referral
Greetings, please use this form to refer DREAM/Undocumented students to our DREAM Services at Long Beach City College. Please know that we will reach out to the students within 24 hours of your referral.

Should you have additional questions or need immediate support please email us at or call (562) 938-4151.

For additional information, visit our website

Student First and Last Name
Your answer
Current School
Your answer
Graduation Month and Year
Phone Number (preferably personal cellphone number)
Your answer
Preferred Email Address (NOT your high school email)
Your answer
High School ID #
Your answer
Has the student completed 3 years of schooling in California? (the 3 years do not have to be consecutive)
Has the student applied to LBCC?
If you have an LBCC ID number, include it below. LBCC ID numbers are 7 digits (OXX-XX-XX)
Your answer
Has the student applied to the CA DREAM Act?
If you have additional questions, concerns or comments feel free to use this section to let us know.
Your answer
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