MOVEMENT: The Asian and Pacific Islander Learning Community Intake Form

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This forms goes directly to the Michael R. Lai, the MOVEMENT Counselor/Coordinator. He will organize the information and follow up with you with next steps. Michael can be reached by email at mlai@chabotcollege.edu. Thank you and we look forward to working with you.

Email *

Name (First and Last) *

How many semesters have you been at Chabot College?

This is my first semester

2-3 semesters

4 or more semesters

Other:

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What is the best way to contact you? *

By Phone

By Email

Other:

Please provide the best contact information and best days and times to reach you *

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