ACC Automotive Technology Student Information Form
Please complete the following information:
First Name
Your answer
Last Name
Your answer
Email Address:
*the email address that you check regularly
Your answer
Your Cell Phone #:
Your answer
ACC Student ID#
Your answer
Current semester:
Example: Fall 2018
Your answer
Number of Semesters completed @ ACC:
Degree You are Pursuing:
Where do you work? *
Your answer
Emergency Contact Name
Your answer
Emergency Contact #:
Your answer
Which Classes are you taking this semester?
Check all classes that apply
Which Instructors do you have this semester?
Check all that apply.
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