Coastline College Lotus Program Intake Form

SIGN UP FOR LOTUS HERE!

Submit your information in this form to join Coastline's Lotus, Asian American, Native Hawaiian, and Pacific Islander (AANHPI) Student Achievement Program and access our programs, resources, and information. You may fill out this form at any point during the FA 25 semester. All Coastline College students are eligible for the Lotus program. For more information on the benefits of joining the program, please see the Lotus website at coastline.edu/aapi-resources

If you have any questions, please email Kenny Le at kle519@cccd.edu, or call at (714) 241-6027.

First Name:

Last Name:

Student ID Number:

Coastline Email Address:

Confirm Coastline Email Address:

Phone Number:

Major/Program of Interest:

Would you like to receive emails from Lotus?

Yes

Would you like to add Lotus to your Canvas portal?

Yes