Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Tell Us About You
Complete and submit this form to stay in touch and receive monthly newsletters about the Educational Opportunity Program and other opportunities for you.
Sign in to Google
to save your progress.
Learn more
Full Name
Your answer
Phone Number
Your answer
Email
Your answer
Date of Birth
MM
/
DD
/
YYYY
Mailing Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
School Name
Your answer
GPA
Your answer
Intended Major
Your answer
Grade
7th
8th
9th
10th
11th
12th
Community College
Clear selection
I heard about this event from...
Teacher/Counselor
SDSU phone call
SDSU/EOP website
High School Conference
SDSU/EOP Presentation or Workshop
SDSU/EOP e-mail
College fair
Other:
My ethnicity is...
African American
Asian
Caucasian
Filipino
Latino
Mixed
Native American
Declined to state
Other:
Yes, I would like to know more about special program for...
Elymash Yuuchaap (Native American Community)
Guardian Scholars: Former foster youth, unaccompanied homeless youth, wards of the court, and guardianship
Henrietta Goodwin Scholars Program (African American Community)
Undocumented youth, Dreamers, AB540, Mixed-Status Resources
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of San Diego State University.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report