Outreach Request Form

The Cerritos College CalWORKs team is committed to connecting the surrounding communities to our welcoming college. We are eager to present the services that we provide to our students at your event by setting up information tables, presentations, and/or workshops.

In order to accommodate your request, the Cerritos College CalWORKs department asks that you please complete the Outreach Request Form below. Please submit your request at least 2 weeks in advance of planned event. A representative from our department will contact you via email to confirm your request. Please allow at least 3 business days to review our availability.

If you have any questions, please contact the Outreach coordinator Blanca P. Gamez via email at bgamez@cerritos.edu or by telephone at (562) 860-2451 ext. 2377.


Please enter your first name.
Please enter your last name.
Please provide the best contact telephone number.
Please enter your email address.
Please list your organization, e.g. (High School, County or mental organization, Community Event, etc.)
Please select the date for your event.
Please select the start time for the event.
Please select the end time for the event.
Please list the name of the event.
Please provide the address for the event.
Please list the location of the event.
Please list the number of expected attendees.
Type of Presentation:
Please choose the type/s of presentation you are requesting.
 

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Last Update: 4/26/2019