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Los Angeles Harbor College CalWORKs Program


Intake:

LACCD CalWORKs Intake Application.pdf

Solicitud de CalWORKs (español).pdf

STEP 1: Complete

STEP 2: Sign each page

STEP 3: E-mail the the Intake Forms to any counselor or coordinator:

Program Specialist/Coordinator: Angeles Zesati: zesatia@lahc.edu

Counselor: Angel Cristales: cristaa@lahc.edu

Counselor: Kaitlin Morales: moraleke@lahc.edu

Counselor: Janette Jimenez-Toriz: jimenejm@lahc.edu

Monthly Attendance Report:

GN 6365

GN 6365 Spanish.pdf

STEP 1: Complete the form and attach your class schedule (current semester).

STEP 2: Sign bottom portion

STEP 3: E-mail the MAR to any counselor or coordinator:

Program Specialist/Coordinator: Angeles Zesati: zesatia@lahc.edu

Counselor: Angel Cristales: cristaa@lahc.edu

Counselor: Kaitlin Morales: moraleke@lahc.edu

Counselor: Janette Jimenez-Toriz: jimenejm@lahc.edu

Ancillary Request:

LACCD CalWORKs Ancillary

The Ancillary Request Form is to request the release of additional funds by your GAIN services worker for textbooks, supplies, and school fees. Please complete the following steps to request textbooks, supplies etc.


STEP 1: Complete and sign the form

STEP 2: Attach your class schedule (current semester).

STEP 3: E-mail the Ancillary Request to any counselor or coordinator:

Program Specialist/Coordinator: Angeles Zesati: zesatia@lahc.edu

Counselor: Angel Cristales: cristaa@lahc.edu

Counselor: Kaitlin Morales: moraleke@lahc.edu

Counselor: Janette Jimenez-Toriz: jimenejm@lahc.edu

Progress Report:

GN 6070 (fillable).pdf

GN 6070 Español (fillable. pdf)

STEP 2: Sign bottom portion

STEP 3: E-mail the GN 6070 to any counselor or coordinator:

Program Specialist/Coordinator: Angeles Zesati: zesatia@lahc.edu

Counselor: Angel Cristales: cristaa@lahc.edu

Counselor: Kaitlin Morales: moraleke@lahc.edu

Counselor: Janette Jimenez-Toriz: jimenejm@lahc.edu

Student income resources.pdf

Change of Information
If your contact information or GAIN services worker changed, please let us know!