Interest Form for Delta classes at WOW 
Thank you for your interest in Delta College classes.  Please let us know what classes you would like to us to offer in Lodi and the time of day that works best for you. 



Outreach & Student Marketing
San Joaquin Delta College
outreach@deltacollege.edu
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Name (First & Last) *
Personal Email 
*
Contact Number (123) 456-7890 *
List one class you would like us to offer in Lodi.  *
List another class you would like us to offer in Lodi. 
List any additional class you would like us to offer in Lodi. 
When are you looking take a class? You can choose multiple semesters.  *
Required
What time of the day works best for you to take a class? You can choose multiple times.  *
Required
What days of the week work best for you? You can choose multiple days. 
*
Required
What type of student services are you interested in? 
Is there any additional information you would like to share with us?
Submit
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