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California Black-Serving Institutions Application

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College/University

Website

Address

College/University President

College/University President Email Address

College/University President Phone Number

Application Lead Contact Information

First Name

Last Name

Phone

Email Address

Position

State your institution's commitment to address Black and/or African American student success and explain how your commitment is consistent with your institution’s mission.

Please state the percent of the institutions enrolled student population identifying as Black/African American for the current term.

Please state the number of students identifying as Black/African American enrolled at the college or university for the current term.

Describe the academic goals for the institution to achieve within the five-year period in which the initial designation is awarded. The goals described in this section should outline the institution's plans to improve retention, time-to-degree or time-to-certificate completion, and graduation rates of Black and African American students.

Describe the academic equity goals your institution aims to achieve within the five-year period of the initial designation as a California Black-Serving Institution. Specifically, outline how these goals will improve academic equity gaps in retention, time-to-degree or time-to-certificate completion, and graduation rates between your Black and African American students and the overall student population. Provide data-driven benchmarks and strategies for achieving these objectives.

Identify institutional memberships, charters, or affiliations to organizations dedicated to the advancement of Black and or African American Students.

An applicant is eligible for designation if the applicant meets all the following requirements:

(1) Has at least 10 percent of the college’s or university’s enrolled student population identifying as Black and or African American students or has at least 1,500 Black and or African American students enrolled at the college or university.

(2) Submits an initial or renewal application, as applicable, to the Statewide Central Office for the Advancement of Black Student Success on or before the application deadline

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