California Community Colleges Alumni Campaign Intake Form

We are looking for participants to feature in our upcoming California Community Colleges alumni campaign. If you graduated or transferred from a California community college, we would love to hear your story!

Please be advised that only fully completed intake forms will be considered. We request that you provide thorough responses to all questions. We appreciate you taking the time to complete the intake form. If you have questions, contact us at admin@naqcom.com.

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1. Contact Information (Required.)

First Name

Last Name

Email Address

Phone

Zip Code

California Community College Attended

Year(s) Attended California Community College

Major

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2. Tribal Affiliation: (Required.)

Are you an enrolled tribal member? Input federally recognized or unrecognized tribe.

If you are a descendant, who was your last known enrolled tribal ancestor? Input federally recognized or unrecognized tribe.

If none of the above is applicable, provide a paragraph below explaining your tribal affiliation and connectivity to culture and community.

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3. Provide your social media handles. (Required.)

Instagram

Facebook

Snapchat

TikTok

X (Twitter)

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4. Did you have experience or participate in any of the following categories while attending a California community college? (Required.)

Financial Aid

Career Ed

Foster Youth

Basic Needs

Returning Student

Active Duty Military

Veteran

First Generation

Parent

Dual Enrollment

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5. Did you graduate from a California community college? (Required.)

Yes

If yes, did you graduate with a degree or certificate?

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6. Did you transfer to a UC, CSU, or other University? (Required.)

Yes

If yes, what is the name of the University that you transferred to?

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7. What was your starting point in attending a California community college? (For example, graduated high school and worked then decided to go to community college, or went to community college right after graduating high school.)

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8. Why did you choose to attend a California community college?

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9. Could you share how your community college experience has influenced your career path? How have the skills or knowledge gained from your community college experience been applied in your professional life?

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10. In what ways do you think your cultural background as an American Indian impacted your community college experience? How did your community college support your goals as an American Indian student? Are there any specific community college initiatives or support systems that you believe are crucial for the success of American Indian students?

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11. Looking back, what would you tell current American Indian students at California Community Colleges about leveraging their education for future success?

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12. Please attach a photo of yourself with your response. You can choose a headshot (no sunglasses or hats) or an image that highlights you in your career. (Required.)

California Community Colleges Alumni Campaign Intake Form

Question Title

* 1. Contact Information (Required.)

Question Title

* 2. Tribal Affiliation: (Required.)

Question Title

* 3. Provide your social media handles. (Required.)

Question Title

* 4. Did you have experience or participate in any of the following categories while attending a California community college? (Required.)

Question Title

* 5. Did you graduate from a California community college? (Required.)

Question Title

* 6. Did you transfer to a UC, CSU, or other University? (Required.)

Question Title

* 7. What was your starting point in attending a California community college? (For example, graduated high school and worked then decided to go to community college, or went to community college right after graduating high school.)

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* 8. Why did you choose to attend a California community college?

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* 9. Could you share how your community college experience has influenced your career path? How have the skills or knowledge gained from your community college experience been applied in your professional life?

Question Title

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* 11. Looking back, what would you tell current American Indian students at California Community Colleges about leveraging their education for future success?

Question Title

* 12. Please attach a photo of yourself with your response. You can choose a headshot (no sunglasses or hats) or an image that highlights you in your career. (Required.)

1. Contact Information (Required.)

2. Tribal Affiliation: (Required.)

3. Provide your social media handles. (Required.)

4. Did you have experience or participate in any of the following categories while attending a California community college? (Required.)

5. Did you graduate from a California community college? (Required.)

6. Did you transfer to a UC, CSU, or other University? (Required.)

7. What was your starting point in attending a California community college? (For example, graduated high school and worked then decided to go to community college, or went to community college right after graduating high school.)

8. Why did you choose to attend a California community college?

9. Could you share how your community college experience has influenced your career path? How have the skills or knowledge gained from your community college experience been applied in your professional life?

11. Looking back, what would you tell current American Indian students at California Community Colleges about leveraging their education for future success?

12. Please attach a photo of yourself with your response. You can choose a headshot (no sunglasses or hats) or an image that highlights you in your career. (Required.)