|
Date:
_____________________
Name:
_______________________________________________________
Address:
_____________________________________________________
City:
______________________ State: ______ Zip
Code: ___________
Phone:
Home __________________ Cell
__________________
E-mail:
______________________________________________________
High School:
_________________________ Graduation Year:
______
Career
interest/major:
________________________________________
Parent name:
____________________Work Phone: ________________
Campus
tours are on Wednesdays and Thursdays at 10:00
(Other times by appointment).)
Please choose
a date for your visit.
Circle one:
Wednesday
Thursday
Month:
______________ Date: __________
Other:
_______________________________
Please mail this
form to:
Susan Barron
Director of High School Relations and Event
Planning
Northeast Alabama Community College
Rainsville, AL 35986
Phone extension
248
E-mail
barrons@nacc.edu |
