Student Success & Retention Services
In order to complete this form, you must have a De Anza College Student ID # (completed college application) and have taken your English Placement exam.

Please note: All SSRS programs begin in the summer with a Program Orientation, Summer Bridge and COUN 50. Applicants are encouraged to complete our interest form as early as possible.

Which program(s) are you interested in joining, please rank your preference (1=First choice; 2=Second choice and 3=Third choice) *
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