Admissions Information Request

Corming Community College - State University of New York

Admissions Information Request Please fill out this form and someone from the Admissions Office will be in contact with you soon. Please provide the following information. (*) Required field
Last Name	*
First Name	*
Street Address	*
Street Address 2
City	*
State	*
Zip Code	*
Phone Number	*
Email Address	*
Verify Email Address	*
How should we contact you?	Phone Email Postal Mail
If by phone, what time is best to call you?	Morning Afternoon Evening
Would you like information on any of the following?	Financial Aid Housing Sports
Have you taken any college courses?	Yes No
Have you taken any courses at Corning Community College?	Yes No
Have you completed, or are you in the process of completing any of the following?	High School GED Home School
Which CCC location is most convenient for you?	Big Flats Corning Elmira
When is most convenient for you to take classes?	Morning (Weekdays before noon) Afternoon (Weekdays from noon to 4pm) Evening (Weedkays after 4pm) Weekends
Are you interested in internet courses?	Yes No
How would you commute to CCC?	Car Public Transportation
How did you hear about CCC? (optional)	Guidance Counselor Teacher Family/Friend CCC Representative Internet Radio Newspaper Other
Are you interested in CCC for any of the following? (optional)	Cost Location Programs of Study Reputation
Have you ever participated in any of the following sports on a competitive level? (optional)	Baseball Basketball Golf Soccer Softball Volleyball
If you have any comments or questions, please enter them here. (400 character limit)