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Yes,
I plan to attend! |
| 1 |
Name: |
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| 2 |
E-Mail Address: |
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| 3 |
Phone (Home): |
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| 4 |
Street Address: |
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| 5 |
City: |
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| 6 |
State: |
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| 7 |
Zip Code |
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8 |
Evening choice |
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9 |
What Associate or Bachelor
degree program
are you most interested in? |
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10 |
Are you new to college?
If you answer yes, skip to question #15 |
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11 |
Have you completed a degree? |
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12 |
If yes, what type of degree
do you have
and where did you receive it? |
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13 |
How many college credits
have you earned? |
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14 |
If yes, where did you earn
college credits? |
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15 |
Are you currently employed?
If no, skip to question #17 |
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16 |
Who is your current
employer? |
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17. |
How did you hear about this
event? |
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Phone: 262-335-5236 if you have any
questions or would prefer to reserve by phone.
Information is confidential and for campus use only.
