LEOC Information Request Form

Interested in learning more about the Laker Educational Opportunity Center (LEOC)? You came to the right place.

Complete this form to get your questions answered, or contact us via phone at (616) 331-5362.

* denotes a required field

Contact Information

First Name *

Last Name *

Preferred Pronouns

Email *

Phone *

Address Line 1

Address Line 2

State

Zip

Country *

How can we help?

What services are you interested in learning more about? (Select all that apply.) *
Academic Tutoring
Assistance in Course Selection
College application completion
Financial Aid Assistance
Financial/Economic Literacy
Guidance in re-entry, GED, alternate education, and post-secondary education
Peer Mentoring
Not listed Please specify a value for What services are you interested in learning more about? (Select all that apply.)

Are you interested in scheduling a virtual or phone meeting? *

Do you have any other questions, or anything else you'd like to share? Please let us know here!

Did you speak with a LEOC staff member?
Please specify a value for Did you speak with a LEOC staff member?

Human Verification *

Page last modified June 16, 2022

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