Web

Name:	Only your first name and last initial will be published on the website.
Student Email:	Please use your LACCD email address ending in @student.laccd.edu
Confirm Email:
Photo:	Please upload a photo of yourself to include in the blog post. You should be the only person visible in the image.
Major while attending LACC:
College you will be attending in the Fall:	The full name of the College or University you are transferring into.
Your future plans: What are your plans after college? Do you have a career or other goal in mind?
How has LACC helped you on your journey?: How has your time at LACC assisted you in achieving your future goals?
I hereby authorize, by submitting this form, that the Los Angeles Community College District (“District”), through its employees, agents and/or representatives, can use my photograph and my likeness in District publications, including, but not limited to, class schedules, handbooks, catalogs, college web sites, Facebook, Twitter, Instagram and other social media platforms and other promotional materials on an unlimited basis. I acknowledge that I am not entitled to any form of payment for the photograph, or for any future publications of the photograph. I also agree to waive any and all future claims, causes or actions and/or demands against the District, its Board of Trustees, officers, employees, agents and/or representatives related to or arising from the photograph and video footage and/or use of my likeness.: I Agree