Clinton Community College

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Visitation Day Registration Form

Clinton Community College has scheduled visit days during the Fall 2008 semester. Each program begins at 10:00 a.m. and will last approximately 2 hours and will include a PowerPoint presentation, a question and answer period, a tour of the campus, and a tour of the residence halls. ****Please note: room based on the date you select.**** Please complete following information if you wish to attend CCC Visitation Day.

Please choose which session you will be attending: *
Monday, September 29, 2008 - Room 110T, Stafford Bldg.
Friday, October 3, 2008 - Room 431M, Moore Bldg.
Friday, October 10, 2008 - Room 431M, Moore Bldg.
Friday, October 17, 2008 - Room 431M, Moore Bldg.
Tuesday, November 11, 2008 - Room 105M, Moore Bldg.
Monday, November 17, 2008 - Room 110T, Stafford Bldg.
Monday, December 22, 2008 - Room 110T, Stafford Bldg.

First Name: *

Last Name: *

Street Address: *

City: *

State: *

Zip: *

Phone Number:

Email Address:

Intended Major:

Number of People Attending: *