Family Educational Rights and Privacy Act (FERPA): All student records of Long Beach City College are maintained in accordance with the provisions of the Family Rights and Privacy Act of 1974.

I hereby give permission to Long Beach City College to release information concerning my student admission status to the following person(s). (Optional):

Father:

Mother:

Sponsor:

Guardian:

Agent Information (if applicable)

Name:

Telephone Number (Include country and city code):

Email Address:

How would you like to receive your LBCC admissions packet? *
Pick Up - Self Mail to Home Country Address Mail to U.S. Address

Representative Name: *

Representative Telephone Number (Include country and city code): *

Representative Email Address: *

Per U.S. Immigration and Custom Enforcement Regulation 8 CFR 214.3(k), for privacy, security and fraud prevention reasons, the Form I-20 must be issued directly by a school to the nonimmigrant student, his or her dependents, or, for minors, to the parent or guardian of the nonimmigrant student.