Coastline Dream Resource Program Application

About Program

Student Information

Academic Information

Student Support Programs

Program Services Questionnaire

About Coastline College's Dream Resource Program

The Dream Resource Program provides support services to undocumented students at Coastline College. Its purpose is to support undocumented students to be successful in achieving their academic, personal, and career goals. We provide:

CA Dream Act Application Assistance
Workshops and events curated for undocumented students (e.g., Know Your Rights, using an ITIN)
Scholarship Application Assistance
Community Resource and Campus Referrals
A supportive community of fellow undocu students and allies
Referrals to Community Organizations who offer:
- Free Legal Consultation
- Deportation Defense
- Free or sliding scale health services

There are no requirements for being a part of the DRP Community and accessing our support services. If you identify as an undocumented individual, you are invited to participate in the Dream Resource program!

Based on your information, we can connect you to additional financial resources you might be eligible for, such as the Basic Needs Program, Dolphin Assistance Program, Student Equity Program, or EOPS.

About Program

Student Information

Academic Information

Student Support Services

Program Services Questionnaire

Confidentiality & Privacy Statement
All information shared on this form is strictly confidential and protected by the Family Educational Rights and Privacy Act (FERPA).

Student Information:

Student ID Number:

First Name:

Preferred Name: Affirmed or Chosen Name (if different than legal name)

Last Name:

Student Email Address:

Pronouns: (what are pronouns ? )

Phone Number:

Can we text this number with resources, updates, and important information?

Do you have children?

Yes

No

Please Share Below:

About Program

Student Information

Academic Information

Student Support Programs

Program Services Questionnaire

Academic Goals and Educational Planning:

Are you a:

When was the last semester and year you attended Coastline College?

What term and year did you first attend Coastline College?

Major:
(unknown indicate as undecided)

Anticipated Graduation Term/Year:

Highest Form of Education:

Did you attend another college?

Yes

No

Other College Name:

About Program

Student Information

Academic Information

Student Support Programs

Program Services Questionnaire

Student Support Programs:

What specific type of support has Coastline's Basic Needs Program assisted you with?

What type of assistance have you received from the Dolphin Assistance Program?
Select all that apply.

Technology Assistance

Textbook Assistance

Are you taking any noncredit classes?
(e.g. adult school ESL)

Yes

No

Have you applied for any of the following?
Select all that apply.

About Program

Student Information

Academic Information

Student Support Programs

Program Services Questionnaire

Program Services Questionnaire:

What type of events/workshops would you most like to attend?

CA Dream Act Application Assistance

DACA Renewal Support + Assistance with Filing Fee

Free Immigration Legal Services

Advanced Parole / Traveling While Undocumented

How to generate income as an undocumented entrepreneur

Community Building Events

Please share below: