DACA Renewal Appointment Request - October 28, 2019
*Para asistencia con la aplicación en español, por favor llame a 310-434-8719.

IMPORTANT: READ ALL DESCRIPTIONS AND INSTRUCTIONS THOROUGHLY

Please complete this form to request an appointment with CARECEN attorneys on the SMC Campus. These appointments are only available to SMC students, alumni, staff, and our community who are renewing their DACA status.

If you have never had DACA before, unfortunately you may not submit this renewal application at this point. Only people who have had DACA at some point in the past can submit a renewal application.

COMPLETION OF THIS FORM DOES NOT GUARANTEE AN APPOINTMENT. Appointments will be scheduled on a first come basis. You will receive an email/phone call to confirm your appointment time or asked if you would like to be put on a wait-list. All meetings will take place at SMC's main campus.

General questions : 310-434-8717 or thecenter@smc.edu 

Thank you. Gracias!
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About You
First Name *
Middle Name
Last Name *
SMC Student ID number (if applicable)
Email Address to Send Appointment Information *
Please submit a valid email address where you will be sure to see messages from us. Double check for typos.
Telephone Number Where SMC Can Call to Confirm Your Appointment Time *
Please list a number where we can reach you directly. If we cannot get an answer from you at this number, your appointment may be given to the next person. Example: XXX-XXX-XXXX
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