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High School Interest Form

High School Graduation Year*
Name*
First Last
Phone*
Email*
Program Interest (optional)
How did you hear about us?*
Please Confirm*
- By submitting this form I agree that High Desert Medical College may call, text and/email me about their education services at the contact information you provided including a mobile number using automated technology. Please note that this consent is not required to attend this college and you may unsubscribe at any time by texting “stop”. Please note message and data rates may apply, see SMS Privacy Policy and Privacy Policy for more information.
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