Academic Interest List
Thank you for your interest in attending North Valley Occupational Center's academic program.  Once you complete this form, an advisor will contact you as soon as possible. 
All new students are required to attend a 12 hour orientation class called Student Tools for Educational Pathways (STEP).
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Last Name *
First Name *
Middle Name
Date of Birth *
MM
/
DD
/
YYYY
Are you between the ages of 18-24? *
Gender *
Preferred Email Address *
Home Address *
City *
Zip Code *
Telephone Number *
Preferred Method of Contact *
Are your a new or returning student? *
What is your educational goal? *
Which campus would you like to attend? *
What time of day would you like to attend classes? *
Mode of instruction preferred *
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