The 10,000 Degrees Access Program Application 

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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.

12/18/2024 Updated to include juniors in the application. 

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

If you are a Freshman or Sophomore, you can complete the 10,000 Degrees Interest Form instead to learn more about our program.    
Contact Information




The name you prefer to be called.



NOTE: We highly recommend using a personal email instead of a school-provided email. This will allow 10,000 Degrees to continue communication with you after graduating.


Parent/Guardian Information







High School Information

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


Autosuggest Field Mapping








Summer College Tour

Demographic Information

Please format the date as MM/DD/YYYY.









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



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!