AvenueM Application Form

1 of 7

Contact Information

First name

Last name

Date of Birth

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Preferred Method of Contact

Phone

Text

Education Information

Current Community College Campus

Please note: selecting an institution will allow AvenueM to send your information to that partner.

Other Community College Campus

Proposed Major

In which term are you anticipating transferring to a 4-year institution?

Fall

Spring

What year are you anticipating transferring to a 4-year institution?

Which of our partnering institution(s) are you interested in transferring to?

University of California, Davis

California State University, Sacramento

Cal Poly Humboldt

Other

Can select more than one

Other Partner Institution

Grant Eligibility

Are you eligible for the Pell Grant?

Are you eligible for the California College Promise Grant?

What was the income level of your family during the majority of your life from birth to age eighteen?

Do not fill out this field