The 10,000 Degrees Access Program Application 

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This form will be used so that high school students can sign up for the Summer 2022 program. This year, we want to have a single form that includes students from high schools in counties other than Marin and Sonoma.

2/6/2024 This is a clone of 2023 to add questions about dietary restrictions and transportation. 

8/7/2024 This is a clone of 2024 COS application with questions and language modified to better represent the Access Program. The form will not create all of the records like Academic Term, College Access Tracker, and Matriculation Tracker, because those should be created after the student's Program Application Status is changed.

Thank you for your interest in the 10,000 Degrees Access Program for high school seniors. Please complete the application below to be considered to participate. 
Contact Information




The name you prefer to be called.





Parent/Guardian Information








If you typed "Other" above, please provide the following information about your school.


Autosuggest Field Mapping







Demographic Information

Please format the date as MM/DD/YYYY.









Please answer "Yes" if your parents attended college in the United States but have not attained a Bachelor's degree or higher.



College Access Programs


Household Information
The section below is to help us understand what type of financial aid you might be eligible for. Please ask your guardian(s) for the information.

$
You can find this on Box 11 on your 1040 Form




Food Restrictions




It may take a little while for your form to process before you see the confirmation screen. 
Please do not hit "Submit" a second time. Thank you for your patience!