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Clark College - Home of the Penguin Nation
Home
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» Welcome Center Interest Form
Welcome Center Interest Form
First Name
(required)
0 of 50 max characters
Last Name
(required)
0 of 50 max characters
Pronouns
(optional)
0 of 75 max characters
Date of Birth
(required)
Phone Number
(required)
Can we text you?
(required)
Yes
No
Email
(please avoid using a school email) (required)
Are you currently a high school student?
(required)
Yes
No
What school do you attend?
When do you want to start at Clark College?
Start Term
Select Term
Winter Term
Spring Term
Summer Term
Fall Term
Start Year
What do you want to study?
0 of 125 max characters
Have you attended Clark College before?
(required)
Yes
No
Please send me more information about (check all that apply):
I want to schedule an enrollment appointment!
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