STARS Application

Name*

First Last

Lancer ID Number*

Date of Birth*

Email*

Enter Email Confirm Email

Phone*

Indicate your preferred way for us to contact you*

Text
Email

While in foster care, were you with:*

DCFS
Probation
Both

How old were you when you entered foster care?*

How old were you when you exited foster care?*

Do you have paperwork verifying you were in foster care?*

Yes
No

Please visit https://www.advokids.org/legal-tools/accountability/california-ombudsman-for-foster-care/

Have you applied for EOPS?*

Yes
No

Please Apply to EOP&S here.

How many units do you plan to enroll in each semester?*

Have you attended another college (including previous enrollment at PCC)?*

Yes
No

One of the requirements to receive services from STARS is for you to meet with a Foster Youth Team member at least once per semester. Do you agree with this requirement?*

Yes
No

Is there an immediate need we can assist you with?

e.g. food, housing, financial, mental health

Do you have any concerns about being successful in college? If so, please describe.

Comments

This field is for validation purposes and should be left unchanged.