Please complete the following form, including your student's email, so that a copy of the information is sent to the student. This is only the first step in the registration process! Your student must then request an appointment with their advisor, and show the received email, in order to complete their registration.

Thank you!

First Name*

Last Name*

Student's School*

LCCC Student ID (if known)

Student Email Address*

LCCC advisor and email address*

If you don't know the student's advisor, please select "unknown."

# of Hours Student is Eligible for School Year 2024-2025*

To calculate: 1. Determine student’s number of high school ONLY units; 2. Multiply that number by three; 3. Subtract the result from the number 30

Term*

Courses to be taken*

e.g. PSYH 151; any English course; any elective

Are any of the courses to be taken as self-pay (CIE)? If yes, please list the courses below.*

School Representative Name*

School Representative Email*