Northern Admissions Interest Form
Your interest in Northern New Mexico College is very much appreciated. We are committed to a student-centered education, and your higher education goals are a priority for us. Please fill out the interest form below to receive more information about Northern.

Please make sure that you have filled out all the required (*) fields.

Basic Information
First name *
Your answer
Middle Initial
Your answer
Last Name *
Your answer
Gender
D.O.B *
(MM/DD/YYYY)
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
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Phone number *
Starting with your area code
Your answer
Enrollment Information
Name of High School *
Your answer
High School City, State *
Your answer
High School Graduation Date *
Your answer
Planned Entry Semester *
Select one
Major of Interest: *
Select all that apply
Required
Request More Information
I would like more information about the following:
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How did you learn about Northern New Mexico College
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Do you have any additional comments, questions or requests?
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