New Student Orientation Pre-Registration Form

* = required.

Full Name * Address * City * Zipcode * Phone Number
(include Area Code) * Alternate Phone Number
(include Area Code) Please indicate the best time to contact you. Email Address * Area of Study (i.e. Associate Degree, Certificate Program, etc...)

Following are the dates & times available for Orientations. Please indicate your first and second preferences with the menus below.

Available Orientation Dates & Times

• November 30, 2006 @ 5:30pm-8:00pm
• December 8, 2006 @ 10:00am-12:30pm
• December 14, 2006 @ 2:30pm-5:00pm

First preferred date *   November 30, 2006 @ 5:30pm-8:00pm December 8, 2006 @ 10:00am-12:30pm December 14, 2006 @ 2:30pm-5:00pm

Second preferred date *   November 30, 2006 @ 5:30pm-8:00pm December 8, 2006 @ 10:00am-12:30pm December 14, 2006 @ 2:30pm-5:00pm

PLEASE NOTE: You are not officially registered for an Orientation session until a member of our staff contacts you to confirm a date and time. Thank You.

A member of our staff will contact you, within two (2) business days, to confirm the date & time of your Orientation session.

Prior to attending an Orientation session, the following must be completed:

• Apply for Admissions
• Take your placement tests (if applicable) - Placement tests for Math, English and Spanish courses are available (please review the Class Schedule for specific requirements).
• If you will be transferring to CCC, all official Academic transcripts are necessary.

If you have any questions, or need more information, please contact us at (928) 226-4323.