High School Partnership Application
* Indicates a Required Field
Suffix
None
JR
SR
II
III
IV
What are your current pronouns?
--Please Select--
Any pronouns
Ask my pronouns
She/Her/Hers/Herself
She/They
He/Him/His/Himself
He/They
Xe/Xem/Xemself
Ze/Zir/Zirs/Zirself
They/Them/Theirs
Use my name as pronoun
Other pronouns or combo:
What is your date of birth?
Select Month
January
Febuary
March
April
May
June
July
August
September
October
November
December
Select Day
Select Year
2019
2018
2017
2016
2015
2014
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2012
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2006
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2002
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2000
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1920
1919
CCC collects the information below to comply with federal and state reporting requirements and to ensure we appropriately serve the needs of our community. CCC does not discriminate based on any of the following information.
Legal Sex, Gender Identity, and Sexual Orientation are used to identify students who are eligible for grants and services, and are used in data analyses to address equity issues at CCC.
What is your current gender identity?
--Please Select--
Woman
Man
Agender
Genderfluid
Gender Non-Conforming
Genderqueer
Non-Binary
Queer
Questioning
Trans Man
Trans Woman
Two Spirit
Prefer Not To Answer
Another, please write in:
What is your current sexual orientation?
--Please Select--
Asexual
Bi/Pan/Omni/Poly/Abro
Heterosexual
Homosexual
Queer
Questioning
Another, Please Write-In:
Prefer Not To Answer
What race(s) do you identify with?
Providing language information will help CCC better serve students. Please provide your native language, primary language, and list any other languages you speak.
What is your primary language?
--Please Select--
English
Spanish
Russian
Chinese
Vietnamese
Another, please write in:
Prefer Not To Answer
What is your native language?
--Please Select--
English
Spanish
Russian
Chinese
Vietnamese
Another, please write in:
Prefer Not To Answer
