10,000 Degrees Interest Form

Comments

1/9/2025 - This form is now repurposed to collect information from 9th and 10th graders for the Access Program.

CVS Auto Suggest Updated March 24th, 2025

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.

This form is for current Freshmen (9th Grade) and Sophomores (10th Grade).

Contact Information

First Name

Middle Initial

Last Name

Birthdate

Please format the date as MM/DD/YYYY.

Cell Phone

Personal Email

We suggest you enter a personal email.

Email address given to you by your school

Your Zip Code

What high school do/did you attend?

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

Did you type "Other High School" above? (Our list above may not show your school.)

YesNo

What is the name of the "other" high school?

What year will you graduate from high school?

What is your high school student ID?

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

Bulk Text Message Opt-Out

Do you want to receive texts with general reminders, resources, and information from 10,000 Degrees? We may still need to contact you individually about your participation in 10,000 Degrees programs. Message and data rates may apply. Message frequency varies. Opt out at any time by texting STOP.

YesNo