New Student Intake Survey
After submitting this form, you will be contacted to discuss your individual needs and get your questions answered.
* Required
First Name
*
Your answer
Last name
*
Your answer
Telephone number
*
Your answer
Student ID (J-number )
Your answer
email address
*
Your answer
I plan to attend most classes at:
*
Choose
Jamestown Campus
Cattaraugus County Campus (Olean)
North County Extension Center (Dunkirk)
Online
Are you transferring college credits from another college or through AP courses? (this does not include JCC courses taken in the high school)
*
Choose
Yes
No
Unsure
Do you plan to transfer to another institution after your time at JCC?
*
Choose
Yes
No
Unsure
What is your intended major? (if unsure, write "undecided")
*
Your answer
How certain are you about your chosen major?
*
Very Uncertain
1
2
3
4
5
Very Certain
What future occupation(s) or general career area are you thinking about? (or say "unsure")
*
Your answer
What is your preferred time to take classes (choose all that apply)
Daytime
Late afternoon
Night (after 6pm)
What is the best way to contact you during the day (excluding text message)?
*
Choose
Phone
email
Phone or email are equally good
What is the best time to contact you?
*
mornings
early afternoon
late afternoon
After 5:00pm (by email)
Any time
Required
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