OCC Pride Scholars Interest Form

If you are interested in being in Pride Scholars or receiving information about LGBTQIA+ events on campus, please take a moment to fill out this form. Students can look forward to monthly mixers, workshops, panels, and more throughout the year.

Pride Scholars is not meant to take the place of a student organization, but to enhance the experience of LGBTQIA+ students and their allies here at OCC by helping build community and giving them the chance to connect with staff and faculty who can help you advocate for your needs.

If you have any question regarding this or other LGBTQIA+ related issues, please email us at occlgbtq@cccd.edu, thank you.

Student ID Number (If none, enter C0xxxxxxx)

Email Address

Affirmed Name

Last Name

Phone Number

Is it okay to text you about LGBTQIA+ news and events?

Yes

What code should we use in place of "LGBTQIA?"

To select multiple options on a computer, hold down "ctrl" (PC) or "command" (MAC).

Race/Ethnicity (Select All Apply)

Pronouns - Check all that apply

Gender - Check all that apply

Orientation - Check all that apply

We always have lunch at Pride Scholars, so please list any dietary restrictions you may have!

Do you need textbook assistance?

Yes

Are you part of EOPS, Student Equity, Pirate's Promise, Umoja, or Guardian Scholars?

Yes

Are you a California College Promise Grant Recipient (CCPG = Tuition fee waiver)?

Yes

Unfortunately, we are not able to offer additional assistance to students who are in programs that already provide textbook assistance. If you need further support, please talk to the corresponding program specialist.

Please fill out the Basic Needs Textbook Assistance Form!

Unfortunately, we do not currently have resources for textbook assistance for students who are not CCPG eligible, but we are working on it!

What kind of programming & events are interested in seeing or hosting on campus?

What topics of discussion are you interested in for Pride Scholars meetings? They don't have to be specifically LGBTQIA+ related!