Los Angeles College Promise Interest Form 2025

Question Title

* 1. Student ID Number (begins with 90 or 88)

Question Title

* 2. Contact Information

First Name

Last Name

Email Address

Cell Phone Number

Name of High School

Question Title

* 3. Date of Birth

Date / Time

Date

Question Title

* 4. Did you receive a letter mailed to your home about the LA College Promise program?

Yes

I don't know

Question Title

* 5. If yes, please enter the Tracking Code at the top of the letter

Question Title

* 6. What college do you plan to attend?

Question Title

* 7. When do you plan to start college?

Winter or Spring 2025

Summer or Fall 2025

Question Title

* 8. When did you (or will you) graduate high school?

Please provide month and year - day can be approximated.

Date

Question Title

* 9. Please select your status

New to college student (have not attended any college after graduating high school)

Returning college student (have not attended any college for at least the last two consecutive semesters)

Question Title

* 10. If you are a returning student, what college did you last attend?

Question Title

* 11. If you are a returning student, when did you last attend college (what semester and year - ex. Fall 2020)?

Question Title

* 12. What is your educational goal?

Transfer to a 4 year college or university

Obtain an Associates Degree and not transfer

Obtain a Certificate

Not sure

Question Title

* 13. How did you hear about the Los Angeles College Promise Program

College Representative at your high school

College information event

High school counselor or teacher

Letter sent to your home

Friend

Other (please specify)

Question Title

* 14. Do you have access to your own computer?

Yes

I have access to a computer that I share with others

Question Title

* 15. Do you have reliable access to the internet?

Yes

I have internet access but it is not reliable

I understand that the LA College Promise program requires that I be a first-time or returning college student, apply for Financial Aid and complete Orientation, Counseling and a Transition program to be eligible. I understand that I must maintain full-time enrollment and a 2.0 gpa and participate in success activities as defined by my college (including but not limited to meeting with my counselor or success coach, participating in tutoring, or attending workshops and events - which may be conducted virtually or in-person).

Question Title

* 16. I have read and agree to the above LA College Promise agreement

Yes