Pima Community College : Information Request Form

If you are requesting information for ONLY non-credit (personal interest) courses, click here.

PLEASE SEND ME:

Credit Course Schedule: (also available online)
Spring 2010
Fall 2009

Non-Credit Course Schedule: (also available online)
September - December 2009

PLEASE SEND ME:

An Admissions Packet (for faster service, apply online)
Financial Aid Packet (for faster service, apply online)

Programs: (view programs online)
Arts and Humanities
Business Careers
Education
General Studies
Health-Related Professions
Industrial Technology
Science, Computers and Information Technology
Services and Trades
Social Sciences
Transfer Option

What term do you plan to begin studies at PCC?
Adult Ed, full-year 09-10 Fall 2009 Spring 2010 Summer 2010 Fall 2010

Additional Comments or Requests:

PERSONAL INFORMATION:
Fields marked with * are required fields.

Have you taken credit or non-credit classes at PCC within the last three years?
Yes No Not Sure

First Name:	*
Middle Initial:
Last Name:	*

Jr Sr III
Street Address / PO Box:	*
Street Address Line 2:
City:	*
State / Province:	*
Zip / Postal Code:	*
Country:	*
Telephone with area code:	( ) Ext:
International access code (if required):
Email address:
Date of birth: mm/dd/yyyy	/ /

I am interested in PCC because:

I currently attend another college or university.

College:
Other:

I am in high school.

High School:
Other:

Anticipated Year of Graduation:

Did you recently hear about or see an ad for PCC?
Billboard
Newspaper
Phonebook
Previously attended PCC
Radio
Web/Internet
Television
Career Fair/Job Fair
College Recruiter in High School
Direct Mail
Employer
Family
Friends
High School/College advisor/counselor
Magazine