MICAPS Information Session Completion Verification
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First Name *
Last Name *
Student ID Number (3#######) - N/A if no student ID number *
Contact Phone Number *
Contact Email (Maricopa email address preferred, if applicable) *
Have you reviewed the Medical Imaging and Cardiopulmonary Sciences Information Session Presentation? *
1 point
Primary Program of Interest *
What is your ultimate career goal? *
Are you interested in exploring other career/program options? *
Will you be a new college student? *
Will you be completing your prerequisites within the Maricopa Community College District? *
Do you have transfer credit outside of the Maricopa Community College District? *
If yes, have you submitted your OFFICIAL transcripts for evaluation to GateWay Community College? *
Which enrollment steps have you completed? (Please select all that apply) *
Required
Are you ready to apply for a program? *
Do you plan to transfer to a four-year university for a bachelor's after you complete your primary program? *
What additional information would you like to discuss with your advisor? *
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