New Student Intake Survey
After submitting this form, you will be contacted to discuss your individual needs and get your questions answered.
First Name *
Last name *
Telephone number *
Student ID (J-number )
email address *
I plan to attend most classes at: *
Are you transferring college credits from another college or through AP courses? (this does not include JCC courses taken in the high school) *
Do you plan to transfer to another institution after your time at JCC? *
What is your intended major? (if unsure, write "undecided") *
How certain are you about your chosen major? *
Very Uncertain
Very Certain
What future occupation(s) or general career area are you thinking about? (or say "unsure") *
What is your preferred time to take classes (choose all that apply)
What is the best way to contact you during the day (excluding text message)? *
What is the best time to contact you? *
Required
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