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Information Request Form

Name:

Address:

City:

St: Zip:

E-mail:

Phone:

I would prefer to receive information by:

Mail E-mail Phone

I would like the following information (check all that apply):

College catalog with detailed program information
Class schedule for next semester
Financial aid & scholarship information
Instructions on how to apply for admission
Programs/services for special needs students.

I am interested in the following programs (check all that apply):

Accounting
Administrative Support Technology
American Sign Language
Architecture Specialization
Automotive Analysis and Repair
Business Administration (Transfer)
Business Management
Computer Aided Drafting and Design
Computer Graphics and Web Design
Early Childhood Development
Education (Transfer)
Electrical Engineering Technology
Electronics Technology
Engineering (Transfer)
Forensic Science
Game Technology
General Studies (Transfer)

Graphic Design Communications
Human Services
Industrial Maintenance
Information Technology
Instrumentation and Control Automation
Liberal Arts (Transfer)
Machine Technology
Marketing
Medical Administrative Support
Network and Technical Support
Paralegal
Police Science
Practical Nursing
Registered Nursing
Science (Transfer)
Welding

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