2024-2025 Men of Color Scholars Program Interest Form

The Men of Color Scholars (MoC) Program is an initiative that provides support, resources, and encouragement to scholars who self-identify as a man of color. Participants in the program will have the opportunity to connect with other scholars, students, staff, faculty, and the general Edmonds College community to positively impact their college experiences and overall success.

Today's Date: Today's Date: / MM / DD YYYY
Full Name: Full Name: First Middle Last
ctcLink ID:
Email:
Phone: Phone: - ### - ### ####
Are you okay with: calls, text, both?

Are you okay with: calls, text, both? Calls Texts Both
first-generation (d): First-generation students are defined as those whose parents’ highest level of education is a high school diploma or less within the United States.
Do you self-identify with being first-generation base on the definition above?

Do you self-identify with being first-generation base on the definition above? Yes No
Have you applied to the TRIO Student Support Services Program?

Have you applied to the TRIO Student Support Services Program? Yes No
We highly encourage all students interested in the MoC Scholars Program to also apply to TRIO to gain further benefits and resources at Edmonds College. Apply at [students.edmonds.edu/csel/first-generation.html] today!
How can the MOC Program best support your educational goals? Please check all that apply:

How can the MOC Program best support your educational goals? Please check all that apply: Success Session (Academic Session) Advocacy Career Development/Counseling Mentoring Personal Counseling/Support Study Skills Success Workshops Transfer Advising/College Applications Other Other

2024-2025 Men of Color Scholars Program Interest Form

2024-2025 Men of Color Scholars Program Interest Form

first-generation (d): First-generation students are defined as those whose parents’ highest level of education is a high school diploma or less within the United States.