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Workforce Development Interest Form

Thank you for your interest in Nassau Community College!

Please complete this form, and the Office of Workforce Development and Lifelong Learning will send you your requested information.
1.First Name:(Required.)
2.Last Name:(Required.)
3.Street Address:(Required.)
4.City:(Required.)
5.Zip:(Required.)
6.Phone:(Required.)
7.Email:(Required.)
8.How did you hear about our courses?(Required.)
9.Have you ever taken any courses at NCC:(Required.)
10.If you answered “Yes” to Question 10, please enter your NCC ID #
11.When would you be most interested in taking courses with us?(Required.)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Afternoon
Evening
12.What type of class format are you most interested in?(Required.)
13.Which of the following courses are you most interested in?(Required.)
14.Are there any additional courses you would be most interested in, or anything else you'd like to share?
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