LBCC DREAM Services-Student Referral
Greetings, please use this form to refer DREAM/Undocumented students 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) 938-5101.

For additional information, visit our website

If you require accommodations, please contact the Disabled Students Programs & Services (DSPS) at (562) 938-4558 or (562) 938-4833 (TTY) or If you require sign language interpreting services, please contact Stephanie Bonales at or (562) 938-4918 at least 7 days prior to the event.
Student Name (First, Last) *
Current School
Phone Number (preferably personal cellphone number) *
Personal Email *
Does the student need:
Clear selection
Has the student completed 3 years of schooling in California? (the 3 years do not have to be consecutive)
Clear selection
Has the student applied to LBCC?
Clear selection
LBCC Student ID number (If you have one 09xxxxx)
Has the student applied for the CA DREAM Act?
Clear selection
If you have additional questions, concerns or comments feel free to use this section to let us know.
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