Inquiry Card
First Name:
*
Last Name:
*
Street Address:
Unit/Apartment:
City:
State:
*
--Select One--
Armed Forces - Americas
Armed Forces - Europe
Alaska
Alabama
Armed Forces - Pacific
Arkansas
American Samoa
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Federated States Of Micronesia
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Marshall Islands
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Palau
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
--Select One--
Armed Forces - Americas
Armed Forces - Europe
Alaska
Alabama
Armed Forces - Pacific
Arkansas
American Samoa
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Federated States Of Micronesia
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Marshall Islands
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Palau
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip Code:
Email Address:
*
Phone Type:
--Select One--
Cell
Landline
--Select One--
Cell
Landline
Phone Number:
How did you find us?
--Select One--
Chat Bot
Email (to Admissions/CES)
High School
Open House
Phone call to main office
Presentations
Public Event/Networking
Referral/ Office Drop in
Request Info Form
Short Term Marketing
Social Media
Other
--Select One--
Chat Bot
Email (to Admissions/CES)
High School
Open House
Phone call to main office
Presentations
Public Event/Networking
Referral/ Office Drop in
Request Info Form
Short Term Marketing
Social Media
Other
Best form of contact:
--Select One--
Email
Text
Phone Call
Letter
--Select One--
Email
Text
Phone Call
Letter
Interest of study:
--Select One--
Business Administration
Criminal Justice
Early Childhood Education
General Studies
Liberal Studies
Social Sciences
--Select One--
Business Administration
Criminal Justice
Early Childhood Education
General Studies
Liberal Studies
Social Sciences
When do you complete 10th grade?
Term of Entry
*
--Select One--
Summer 2024
--Select One--
Summer 2024
Instructional Locations
*
--Select One--
Austin
Blossburg
Bradford
Corry
Coudersport
Duke Center
Elkland
Emporium
Erie
Franklin
Galeton
Girard
Kane
Marienville
Meadville
North East
Port Allegany
Saegertown
Shinglehouse
Smethport
St. Marys
Tidioute
Tionesta
Titusville
Ulysses
Union City
Warren
NA
--Select One--
Austin
Blossburg
Bradford
Corry
Coudersport
Duke Center
Elkland
Emporium
Erie
Franklin
Galeton
Girard
Kane
Marienville
Meadville
North East
Port Allegany
Saegertown
Shinglehouse
Smethport
St. Marys
Tidioute
Tionesta
Titusville
Ulysses
Union City
Warren
NA
Additional Information:
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