Reg Form Test - The Access Project

Rising Scholars Application - v2 - Rev 8/30/2022

First Name

Middle Name

Last Name

Preferred Email

Alternate Email

Phone Number

Can we text you at this number?

Yes

Mailing Address

Street Address

Address Line 2

City

State/Province

Zip/Postal

Date of Birth

Select your college affiliation.

Please select your college even if you are not currently enrolled or have graduated.

If you already have a recent copy of your California DOJ RAP sheet, please upload it here.

Maximum upload size: 52.43MB

Please note: we need a copy of your record from the California Department of Justice, NOT from a background check company such as Checkr, and not abstracts of judgment or other local court records. The DOJ is the most comprehensive source, and we don't want to miss anything! If you do have a recent DOJ RAP, you won't need to do the Live Scan process. If you have trouble uploading the file, you can email it to info@AccessProjectCA.org.

To complete registration, you need to read and accept the terms of the program and consent to release your records to us.