10,000 Degrees Interest Form 

This form is associated with the College Access Open Access model. The form will be used to have students at the high school (12th graders) "sign" up to receive our services if they did not attend the College Opportunities Summit so we can create a contact in Salesforce.

CVS Auto Suggest Updated Sep 8, 2023  
Overview of 10,000 Degrees
10,000 Degrees is a leading college success nonprofit in California committed to helping students from underrepresented backgrounds get to and through college. 

Our services do not have a GPA requirement and are free of charge to the students and families we serve. 

We have an unwavering belief in all students’ potential to succeed no matter their GPA, race, gender, sexual orientation, documentation status or socioeconomic status. 
Contact Information

Please format the date as MM/DD/YYYY.

We suggest you enter a personal email.

If your school does not appear, please type "Other High School"

Please type a four-digit year.

This will help us keep track of the support services we provide you!
Demographic Information

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