Corning Community College - State University of New York

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Contact Information

First Name*
Last Name*
Street Address*
Street Address 2
City*
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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

Background and Interests

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 Home School GED
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 4:00 p.m.) Evening (Weekdays after 4:00 p.m.) 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)

© Corning Community College, 1 Academic Drive, Corning, NY 14830
Call Us: (800) 358-7171 (NY & PA) or (607) 962-9CCC