Community College of Aurora Pre-Enrollment Services 16000 E. CentreTech Parkway Aurora, Colorado 80011 303-360-4700

Request for Information

Privacy Statement. All information is treated as confidential and for the sole use of the Community College of Aurora. None of the information you share with us on this inquiry form is given to or sold to any other organization.

Please complete the following information request form. When you push the "submit" button your request is sent directly to the Community College of Aurora Pre-Enrollment Services office. They will send you the materials you asked for. For additional assistance you may call 303-340-7522 or e-mail Diana.Counterman@ccaurora.edu or write to the address at the top of this form.

Name:
First:		Last:		M.I.

Address:
Street:
City:		State:		Zip:
Telephone (include area code):
Home:		Work:
E-mail		SSN:

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To help us prepare materials for you, please indicate the following:

What is your primary educational goal? (select one)

Please select one of the below
Transfer programs/Bachelor's Degree
Career/Technical Training
Associate's Degree
Personal Development
Other, please list:

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What is your primary area of interest? (select one)

Advanced Technology Programs	Humanities/Fine Arts
Business & Professional Studies	Math
Computer Science & Technology	Public Service Programs (Police, Fire, etc.)
English	Science Programs
	Undecided

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What is your secondary area of interest? (select one)

Advanced Technology Programs	Humanities/Fine Arts
Business & Professional Studies	Math
Computer Science & Technology	Public Service Programs (Police, Fire, etc.)
English	Science Programs
	Undecided

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Please indicate the term you wish to enroll:

Fall 2007 Spring 2008 Summer 2008

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Indicate any additional materials you would like to receive from the college:

  Schedule

Viewbook

Application for Admission

Transfer Opportunities

Financial Aid/Scholarship Information

Resources for People With Disabilities

Other

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Comments or Questions:

Internal use only (please leave blank):                                              

    

updated 4/9/2008