Surveytitle.gif (2360 bytes) Please submit the survey below to receive credit for completion of the orientation portion of the Matriculation process. 
Thank You!

Please provide the following information:

First name
Last name
Middle initial
Street address
Address (cont.)
City
State
Zip
Date of Birth
Work Phone
Home Phone
E-mail (if available)

What semester do you plan to begin classes?


Choose one of the following options:

I have completed the English and math Assessment.
I have received an exemption from the Assessment.
I need to take the Assessment Test.

How would you rate your opinion of the on-line orientation ?

bad poor average fair good

Comments or Suggestions:

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Updated: December 04, 2013, by Donna Hajj, Counselor
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