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Student or Faculty *

Student

Faculty

Other:

Have you attended any Fab Lab workshops?

Yes

Not Yet

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Name *

At which PCC campuses have you taken classes? *

Cascade

Rock Creek

Sylvania

South East

I have never taken classes at PCC

Other:

Required

At which campus do you take most/all of your classes? *

Cascade

Rock Creek

Sylvania

South East

I have never taken classes at PCC

Other:

Required

PCC Email

if different from e-mail address provided above

PCC Start Date

If you are a student, when did you first take classes?

YYYY

PCC Expected Graduation Date

If you are a student, when do you expect to graduate or take your last class?

YYYY

Department/Educational Focus *

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This form was created inside of Portland Community College.