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Want to get involved in statewide student advocacy and organizing? JOIN US!

SOCC Extended Application for UCSC

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First Name *

Last Name *

Email *

Phone *

Campus *

Year in School *

Major

Gender Pronouns

Shirt Size (standard adult sizes)

Please describe your identity for us by selecting all that apply. This will help the conference reflect a diverse group of students of color, and will help the planners make sure there is relevant content for you to experience. *

Afrikan / Black
Indigenous
South or Central American
Latinx
Asian / Asian American
Pacific Islander
Filipino
South West Asian / North African
South Asian
Mixed Racial
White
Queer POC
Trans POC
Womxn of Color
Muslim
Jewish
Undocumented
International Student
Student Parent

If there are any aspects of your identity that we missed, please note them here.

Tell us more about why you want to attend this conference. *

Will you need any accommodations for dietary restrictions, disabilities, or anything else, either for the conference or for your lodging arrangements?

Some conference members may have issues they are working on that they want to present to other students about. This is optional, but if you think you might want to be considered to present a workshop, please tell us a title and short description. We will review this and get back to you if the conference planners want to offer you a session.

Attending this conference may require leaving campus early and missing class on Friday. Please check this box to acknowledge that you may be required to do this. *

If you are a human seeing this field, please leave it empty.

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CA Student Aid Commission @castudentaid ·

23 Oct

Join us to learn about how we can address #ColllegeAffordability in California! Ensuring students can access the #FinancialAid they need and supporting student success is at the core of what we do!

Register here: http://castudentaid.org/CSACBlueprint

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