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CCC Interest Form
We are excited to learn more about you and help you along the way as you embark in your path to success at Contra Costa College!
Please fill out this interest form and we will reach out to you for next steps on orientation.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Contra Costa College ID # (if you have one)
Your answer
High School ID #
*
Your answer
High School Attended
*
Your answer
Did you apply to the Richmond Promise Scholarship?
*
Yes
No
Email Address
*
Your answer
Phone Number
*
Your answer
May we contact you via text? Message and data rates may apply.
*
Yes
No
What is the best method to contact you?
*
Text message
Phone call
Email
What is your academic major?
*
Your answer
Have you completed the following enrollment steps?
Applied to Contra Costa College
Completed FAFSA or CA Dream Act
Completed CCC Online Orientation
Yes
No
Applied to Contra Costa College
Completed FAFSA or CA Dream Act
Completed CCC Online Orientation
Yes
No
What is your educational goal?
Transfer to 4 year University
Obtain AA/AS Degree
Obtain Certification
Yes
No
Transfer to 4 year University
Obtain AA/AS Degree
Obtain Certification
Yes
No
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