Spring 2024 CARES Support Request Form
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Basic needs, such as access to food and housing are required to thrive as a student. If you are a current CCE student who is facing challenges with access to basic needs, SDCCE is here to offer support.   


If you need support with access to food, housing, transportation, technology, or other basic needs, we encourage you to fill out this form. This form will be used to connect you with resources related to your identified areas of need.  


Once completed, you will be contacted via the email you include on this form by the Basic Needs Coordinator, who will review the information to connect you with individual resources options. 


If this is an emergency, or you need immediate assistance, please call 9-1-1 or the San Diego Access & Crisis Line at 888-724-7240. 

Student Name (First and Last)
Nombre del Estudiante (Primer Nombre y Apellido) 
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Student ID Number (CSID)
Número de estudiante
Please provide your full student ID number to determine eligibility
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Phone Number
Número de teléfono 
Pronoun
Pronombre
Clear selection
Primary Campus
Campus Principal (En el que toma clases) 
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Required
Select the program(s) in which you are currently enrolled:
Seleccione el/los programa(s)en los que está inscrito actualmente:
Income Level (include income from all sources, e.g., work, government aid)
Nivel de Ingresos (Incluya ingresos de todas las fuentes, como trabajo, ayuda gubernamental, etc.) 
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Number of people in household (including you):
Número de personas que viven con usted (incluyéndose usted) 
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Are you in need of emergency clothing?
¿Necesitas ropa? 
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Required
Are you in need of emergency food?
¿Necesitas alimento? 
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Required
Are you currently receiving CalFresh Benefits?
¿Estas recibiendo actualmente beneficios del programa CalFresh? 
Clear selection
Are you in need of personal hygiene items?
¿Necesitas artículos de higiene personal?  
 *
Required
Are you in need of a bus pass to get to school?
¿Necesitas un pase de autobús para ir a la escuela? 
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Required
Are you in need of a taxi voucher to get to school? 
¿Necesitas un pase para un taxi para ir a la escuela?  
(Transportation via taxi is offered by the United Taxi Workers of San Diego.)
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Are you in need of gas for your car to get to school?
¿Necesitas gasolina para tu carro para ir a la escuela? 
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Required
Are you in need of a laptop to complete school work?
¿Necesitas una computadora portátil para completar tu trabajo escolar? 
Are you in need of a Wi-Fi resources to complete school work?
¿Necesitas un punto de acceso Wi-Fi para completar tu trabajo escolar?  
Are you interested in connecting with a Be Well Mental Health Counselor for assistance with stress, anxiety, or other support?
¿Estas interesado/a en conectarte con nuestro Consejero de Salud Mental “Be Well”  para recibir ayuda con el estrés, la ansiedad, u otro tipo de apoyo? 
Clear selection
If yes, do you give permission for the Be Well Counselor to contact you?
Si es así, ¿Autoriza que el consejero de “Be Well” se ponga en contacto contigo? 
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What CE resources are you currently using?
¿Qué recurso de CE (Educación Continua) estas utilizando actualmente? 
What is your current housing situation?
¿Cuál es tu situación de vivienda actual?  
Clear selection
Preferred Method of Contact:
Método de contacto preferido:  
How did you find out about SDCCE CARES?
¿Como te enteraste sobre el programa SDCCE CARES? 
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