University Center Fall Open House
Registration form for Fall 2019 Open House
Yes, I will attend the University Center of Lake County's Open House (from 5:30 to 7:30 pm.)
First Name *
Your answer
Last Name *
Your answer
Email address *
Your answer
Phone
Your answer
May we text you a reminder about the Open House?
Street address
Your answer
City
Your answer
State
Postal Code
Your answer
I am interested in:
Program Area of Interest (Please specify):
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Preferred Program Delivery Method
When do you plan to begin classes? *
How did you hear about the open house? *
Required
Have you previously attended College of Lake County?
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