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

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