Student email (LAUSD Students: Use your MyMail account) *
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Student First Name *
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Student Last Name *
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Date of Birth *
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LACC Student ID Number (Preferred) or Confirmation Number *
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Parent email *
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Parent First Name *
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Parent Last Name *
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Secondary parent email (optional)
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Would you be interested in purchasing a VAAS College Scholar branded t-shirt? Funds that are raised will go to scholarships for participants in the program. *