Grouptrail

This form collects student’s choice for registration for a workshop, course or bridge program offered within the 2026 Peralta Colleges Summer Institute.

Description of all opportunities can be found here: https://www.peralta.edu/dual-enrollment/summer-institute

COMPLETION OF THIS FORM DOES NOT GUARANTEE REGISTRATION IN THE PERALTA SUMMER INSTITUTE. This just starts the process!

After completing this form, you will be contacted by your high school Peralta Institute Coordinator soon for next steps. Watch for a text message or email. Please contact your high school counselor, work-based learning specialist, or college & career coordinator with questions.

If you don’t hear back from your school coordinator within a week, email peraltainstitutecoordinator@gmail.com

Please note that the information shared on this form will be shared with Peralta Community College District, area district and school lead staff, and contracted staff supporting the Peralta Summer Institute. Information will not be shared for any reason beyond what is explicitly needed for participation in the Peralta Summer Institute.

By sharing your cell phone number below, you are giving us permission to text you about this program.

STUDENT CONTACT INFORMATION

Student First Name *

Student Middle Name

Student Last Name *

Current Grade *

Anticipated Graduation Date

Student Birthdate and Birth Year *

Peralta Student ID # (if you don’t have this # yet, leave it blank)

Student Cell Phone Number *

Student's School email address *

Student's School email address (confirm)

Student's Personal Email address *

Student's Personal Email address (confirm)

Student Address: House # and Street *

Student Address: City *

Student Address: State *

Student Address: Zip Code *

Ethnicity (Select all that Apply) *

Gender Identity: Your innermost concept of self as male, female, a blend of both or neither – how you perceive yourself and what you call yourself. Your gender identity can be the same or different from your sex assigned at birth. *

SCHOOL INFORMATION

High School *

High School Information Tag for Loop

School District *

If you selected "Other School" please write the name of your school here. *

Other School District *

Your High School Counselor’s Name *

Your High School Counselor’s Email Address *

PARENT/GUARDIAN INFORMATION

Parent or Guardian Name *

Parent or Guardian email address *

Parent or Guardian Cell Phone Number *

Parent or Guardian Name (2)

Parent or Guardian email address (2)

Parent or Guardian Cell Phone Number (2)

CAREER EXPLORATION EXPERIENCE

In your high school, are you in a Career Pathway? If so select the industry sector that your career courses are in:

If you have taken any Career-focused courses at your high school, please list the ones you have taken. (Leave blank if none have been taken):

If you have taken a community college course below, please type the name of the class that you were enrolled in:

Have you participated in Peralta Summer Institute before? If yes, please select what year. (select all that apply)

STUDENT SELECTION OF COLLEGE OPPORTUNITY

CAREER AWARENESS:

Transportation (TRA)

COA - Intro to Automotive & Diesel Mechanics Workshop

Science, Technology, Engineering, and Mathematics (STEM)

COA - Fab Lab Non Credit Course

CAREER EXPLORATION:

Arts, Media, and Entertainment (AME)

BCC - Experimental Animation Course
BCC - Introduction to 3D Animation Course
BCC - Introduction to Game Design Course

Business and Finance (FIN)

Laney- Financial Accounting Course

Education, Child Development, and Family Services (EDU)

BCC - Child Growth and Development

Hospitality, Tourism, and Recreation (HOS)

Merritt - Real Estate Principals Course

Information and Communication Technologies (INF)

BCC - Exploring Robotics Course
Laney - Hack the Hood Program paired with CIS 6 Course
Merritt - Introduction to Information Systems Security Course

Public Services (PUB)

Merritt - Emergency Medical Responder Course

CAREER PREPARATION AND TRAINING

(FOR GRADUATING 12TH GRADERS ONLY):

ACOE’s Green Careers Guidance Initiative:

COA - Intro to Automotive Technology Lab/Lecture (Transportation Pre-Apprenticeship)
Laney - Introduction to the Skilled Trades/+PE (Construction Pre-Apprenticeship)

Laney STEM Summer Bridge Program:

Laney - STEM Summer Bridge

Oakland Promise Scholars Bridge Program:

BCC - Counseling 24 Course

Select your 1st choice here *

Select your 2nd choice here: *

OUSD ONLY

OUSD Student ID Number *

OUSD has secured funding to provide financial support in the way of stipends for qualified students that may otherwise not be able to participate in the Summer Institute for economic reasons. Please rate your level of need for a stipend in order to participate in the Summer Institute. 1 being low and 5 being high.

Peralta Summer Institute 2026