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THE COMMUNITY COLLEGE OF BALTIMORE COUNTY
OFFICE OF ADMISSIONS
2011 INFORMATION SESSIONS

Please complete the form below, then click “submit.” You will see a confirmation screen indicating that your registration has been received. One week prior to the event, you will receive a confirmation e-mail with further detail.

(* indicates required field)

Contact Information

Number of people attending

Name of prospective student

Address (city, state, zip)

Email address

Telephone number (cell or home)

Choose your session

	Getting Started/Admissions, November 10, 2011, 6 p.m. - 7 p.m., CCBC Dundalk, Building A, Room 107
	Getting Started/Admissions November 15, 2011, 6 p.m.- 7 p.m., CCBC Essex, Building A, Room 260
	Getting Started/Admissions November 15, 2011, 6 p.m.-7 p.m., CCBC Catonsville, Building K, Room 100
	Getting Started/Admissions November 30, 2011, 6 p.m.-7 p.m., Hunt Valley Center, Room 120C
	Getting Started/Admissions December 7, 2011, 6 p.m. - 7 p.m., Owings Mills Center, Room 302
	Parallel Enrollment Program (PEP), December 6, 2011, 6 p.m.- 7 p.m., CCBC Essex, Building J, Room 137
	Parallel Enrollment Program (PEP), December 8, 2011, 6 p.m.- 7 p.m., CCBC Dundalk, Building A, Room 107
	Parallel Enrollment Program (PEP), December 13, 2011, 6 p.m.- 7 p.m., CCBC Catonsville, Building K, Room 100

Educational information

Currently attending another college?

	Yes
	No

High school name

High school graduation year

Program of Interest (College Major)

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