CCHE Student Intake Form
Please provide the following information so CCHE can serve you better.
First and Last Name
Mailing Address (include city, state, zip)
Select the education you have completed:
High School Diploma
If you've attended higher education institutions, please name them here:
If you've attended higher education institutions, please list your main fields of study:
If you've attended higher education institutions, when did you attend?
SELECT THE AREA WHERE CCHE CAN ASSIST:
Financial Aid (grants, scholarships, loans, FAFSA, etc.)
Finding and applying to colleges / researching programs / trainings
Researching online vs. in-person options
Help working with your school on concerns, questions and scheduling
Accessing my school transcripts
24 hour access to CCHE study room / technology
Proctored exams: scheduling and questions
Placement tests (ACT, SAT, Accuplacer, etc.)
Proof-reading, editing and formatting essays/papers
Finding a mentor or tutor
Computer / technical support
Resumé development / interview skills / job seeking
Additional notes or questions you'd like to add:
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