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Interest Form
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Note: Completion of this form will immediately send your information to an Umoja coordinator.
Birth Date
Month
Month
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Day
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Year
Year
1924
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Student ID
First Name
*
Last Name
*
Phone Number
Email
*
Umoja Campus
Umoja Community
Alameda
American River
Antelope Valley
Bakersfield
Berkeley City
Butte College
Cerritos
Cerro Coso College
Chabot
Chaffey
City College of San Francisco
Coastline
Copper Mountain College
Cosumnes River
Cuyamaca
De Anza
Diablo Valley
East Bay
El Camino
Evergreen Valley College
Fisk University
Foothill
Fresno City
Fullerton
Golden West
Grossmont
Hartnell
Highline
Laney
Las Positas College
Long Beach
Long Beach City
Los Angeles City College
Los Angeles Harbor
Los Angeles Pierce College
Los Angeles Southwest College
Los Angeles Trade Tech
Los Angeles Valley
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MiraCosta
Modesto Junior College
Monterey Peninsula
Moreno Valley
Mt. San Antonio
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Napa Valley
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Palo Verde College
Palomar
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Reedley College
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Sacramento City
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