College of Business Information Request

* denotes required field

Student Information

First Name

Preferred First Name

Last Name

Birthdate

Email Address

Mobile Phone Number

Would you like to receive text messages from us?

Yes

No

Student Type

First-Year Student

Transfer

Note: Students who are in high school taking CCP courses would be considered First-Year Student.

Parent Information - Optional

Parent First Name

Parent Last Name

Parent Email

Academic Information

Anticipated Start Term

Major of Interest

Current High School

High School Graduation Year

Most Recent Transfer Institution

Are you interested in a campus visit?

Yes

No