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De Anza EOPS Interest Form
Please fill out the following form if you are interested in joining EOPS.
You will receive an email about the next steps in the application process.
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* Indicates required question
Student ID#
Your answer
First name
*
Your answer
Last name
*
Your answer
Email Address
*
Your answer
Phone#
*
Your answer
Are you a current high school student?
*
Yes
No
Year you graduate from high school
Your answer
Name of current or most recent high school:
Your answer
Are you a current college/university student?
*
Yes
No
If yes, name of college/university:
Your answer
Which quarter are you interested in joining EOPS?
*
Fall
Winter
Spring
Which year?
*
Choose
2023
2024
2025
2026
2027
2028
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