Los Angeles Valley College
Please fill out this digital contact card for more information about Valley College!
Sign in to Google to save your progress. Learn more
First Name: *
Last Name: *
LAVC Student ID Number
An LAVC student ID number begins with 90 or 88; if you do not have a LAVC student ID number, please leave this question blank
Birthdate: *
MM
/
DD
/
YYYY
Email Address: *
Phone Number:
I would like to be contacted about: *
Required
Name of High School: *
What grade are you currently enrolled in? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy