Outreach Contact Form

Outreach Event Request form

*Name:

*Phone #:
Ext:

*Email:

*Event Address:

*What type of school or organization do you represent?
ElementaryMiddle SchoolHigh SchoolCollegePublic Service Department

*Name of your school or organization:

*Title of event:

*Date of event:

*Start Time:
12345678910111200153045a.m.p.m.

*End Time:
12345678910111200153045a.m.p.m.

*Room or Area:

*Who is your audience?:
StudentsParentsStudents and ParentsStaff and/or Faculty

*# of Attendees:

*Please select one of the following outreach options (for details about each type of presentation please see the Outreach Menu):
4 Easy Steps to Cash (15-30 minutes)Cal Grant 101 (30 minutes)Cerritos College Service and Faculty TrainingEarly Financial Aid Awareness (45 minutes)FAFSA WorkshopFinancial Aid 101 (45 minutes)Financial Aid for Study Abroad program (30 minutes)Financial Aid Training for High School Counselors/EducatorsHow to Win Scholarships (45 minutes)Information BoothPreparing Foster Youth for College (45 minutes Student)Other (answer the next question)

If the above outreach options do not meet your needs, please indicate how we can accomodate you.

Language:
EnglishSpanishBoth

Number of presentations:
012

If you would like more than one presentation, how will the presentation take place?:
one after the otherat the same time in different roomsnot applicable

Number of financial aid representatives:
12

Would you like a power point presentation?:
YesNo

Will you provide technical support?:
YesNoNot Applicable

If yes, please elaborate (i.e. laptop, computers, internet, projector, printer)

Do you have any special requests?: