WCCS Student Information Card

Please complete the items below to receive information from the Business Departments at Wallace Community College Selma.
Computer Science/Business/Office Administration Departments
Last Name: *
Your answer
First Name: *
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Zip Code: *
Your answer
Cell Phone: *
Your answer
Email Address: *
Your answer
High School: *
If Other...Please List Your School:
Your answer
Current Education Status: *
Intended Major: *
Required
I plan to enroll: *
Summer 2019
Fall 2019
Spring 2020
Summer 2020
Fall 2020
Semester:
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