Appointments

Please fill this form out, click the SUBMIT Button and the form will be emailed to Lupita; or you can print the form and then fax (818-710-4237) the form to Lupita. Or you can copy and past the information into a word document and them email it to Lupita.

To reduce the amount of delay in setting up an appointment, please answer ALL the questions.

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Appointments

Name:

Student ID:

Telephone Number:

Appointment by Phone: none Yes No

Appointment In Person: none Yes No

Appointment by Email: none Yes No

Email address:

Current PACE student: None Yes No

Transcripts outside the District: none Yes No

Transcript from what school:

What is your Major:

Where do you plan to transfer:

Best Appointment Day: Wednesday Friday

Best Appointment Time: none 11:00 11:30 12:00 12:30 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 5:00 5:30 6:00 6:30 Wednesday none 12:00 12:30 1:00 1:30 2:00 2:30 3:00 3:30 Friday

Revised: November 3, 2009 11:06 AM