RCC Interest Survey for High School Seniors
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Last Name *
First Name *
Have you applied to RCC? If so, please write your RCC ID number below. (Ask your High School Navigator if you are unsure) *
Select your school *
Which campus are you planning to attend?  *
Provide the best contact telephone number to reach you (cell phone number) *
Personal Email (not high school email) *
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)?" *
Are you planning to attend the RCC Info Session on November 30, from 6:00 to 7:00pm?  *
What are your plans after high school?
Clear selection
Which would you like to learn more about?
Choose an RCC program to learn more information about (Breakout Session)
Clear selection
Choose a second RCC program to learn more information about (Breakout Session)
Clear selection
Are you interested in Health Science Only
Clear selection
Are you interested in the RCC/University Transfer Option only
Clear selection
Is there a question that you would like to have answered during the Info Session?
Submit
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