TELL US ABOUT YOUR SCHOOL
Name of School
Principal / Head of School
Address 1
Address 2
City
State
+++RECIPIENT_STATE+++
Zip
L.A. County Supervisorial District
(Where your headquarters are located.)
+++DISTRICT1+++
Not Sure? Click here to find your County Supervisorial District
L.A. City Council District
(Where your headquarters are located.)
+++DISTRICT2+++
Not Sure? Click here to find your L.A. City Council District
 
WHO WILL BE THE CONTACT PERSON FOR THIS PROGRAM?
First Name
Last Name
Phone
E-mail

Your E-mail address will be used as your login when returning to the site.
Password

Please enter a Password between 5 to 8 characters. No spaces or quotes.
 
+++SCHOOL_GRADES+++
TELL US MORE ABOUT YOUR SCHOOL
Is Your School Public or Private? +++PUBLIC_PRIVATE+++
If you are a public school, please select your school district.

If you are a private school, please select "We're a private school."

+++SCHOOL_DISTRICT+++

Number of Students Enrolled: +++NUMBER_STUDENTS+++
Submit