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Information Request

Thank you for your interest in Clinton Community College! Please indicate the type of information you would like to receive, along with your contact information.

I'm interested in CCC because of a .... *

Do you plan to attend classes? *
 On Campus
 On Campus AND Online
 Online only

I am interested in attending for the... * *

Publications I am Interested in:

 Academic Program Guide: More information about all academic degree programs and non credit credentials at Clinton

 Accommodative Services Brochure: Learn more about services available to students with disabilities.

 Athletics Brochure

 Campus Viewbook: Campus at a Glance

 CAP Brochure: How to go from a CAP student to a new first time student at Clinton?

 Commuter Meal Plan Brochure

 Newsletter: Traditional Students (18 - 24 years)

 Free Admissions Application

 Free Nursing Application: (Available Oct. 1st to Feb. 1st)

 Newsletter: Adult Learner (25 years +)

 Newsletter: CAP Students

 Residence Hall Brochure

Your Contact Information:

First Name *

Last Name *

PO Box or Street Address *


City *

State *

Zip Code *

Telephone Number (XXX-XXX-XXXX) *

Email Address *

Date of Birth: (MM/DD/YYYY) *

High School Name & Graduation Year *

Academic Programs:

Transfer Degree Programs:

Career Degree Programs (Non Transfer)

Certificate Progams