Las Positas College Cap and Gown Loaner Program
Students with a financial need* may qualify for a loaned cap and gown. Financial need includes CalWORKs and EOPS Program students and students not currently employed with no financial assistance from family.

Please fill out the following questionnaire to participate in the LPC Cap and Gown Loaner Program.
Your participation is confidential. However, the information collected assists in determining availability of the items needed and contacting you as confirmation of eligibility with pick-up details of items.

Due to limited quantities, items will be distributed on a first come, first served basis. Responses to this questionnaire are date and time stamped to best accommodate distribution.

You may contact Adria Anderson-Kelly, Administrative Assistant, Student Life, 925.424.1496, for more information.
Student First and Last Name *
Your answer
Student W# *
Your answer
Email address *
Your answer
Telephone Number *
Your answer
Height (Needed as gowns are sized by height) *
Your answer
Check items needed: *
Required
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service