College Access Latinx Initiative (CALI)

Interest form

Our mission is to support Latino/a/x students by connecting them with resources and programs available to help support their education here at PCC.

Are you interested in being a potential applicant? Fill out the form below so we can follow up with you, answer any questions and reach out to you when CALI’s next year application is available.

Some questions require an answer to continue.

"*" indicates required fields

What is your name? / Cómo te llamas?*
Do you identify as Latino/a/x and/or Indigenous? / Te identificas como latino/a/x y/o indígena?*
(Mexico, Central, South America, and the Caribbean / México, Centro, Sudamérica y el Caribe)

Are you a current PCC Student? / Es un estudiante de PCC actualmente?*

(if applicable / si es aplicable)
What is the highest grade or level of school that you have completed?/ Cuál es el grado o nivel escolar más alto que ha completado?*

How would you like to be contacted? / Cómo le gustaría ser contactado?*
By email / Por correo electrónico
By phone / Por teléfono
This field is for validation purposes and should be left unchanged.