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)
Fall 2008
Summer 2008
Spring 2008

Non-Credit Course Schedule: (also available online)
May - August 2008

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?
Spring 2008 Summer 2008 Fall 2008 Spring 2009 Summer 2009

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