RCC Interest Survey for High School Seniors
Please complete this short form to help RCC to prepare you for your next steps.
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Last Name *
First Name *
Personal Email (not high school email) *
Provide the best contact telephone number to reach you (cell phone number) *
Select your school *
What are your plans after high school? *
Have you applied to RCC? (If you are, or were, a Dual Enrollment student then you should answer yes.) *
Have you taken Dual Enrollment at your high school?  *
Are you a First-Generation College Student meaning, "Have EITHER one of your parents earned a 4-year college degree (Bachelor's)?" *
Choose an RCC program to learn more information about (Breakout Session) *
Choose a second RCC program to learn more information about (Breakout Session) *
Are you interested in Health Science Only *
Are you interested in the RCC/University Transfer Option only *
Which would you like to learn more about? *
Required
Is there a question that you would like to have answered during the Info Session?
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