Please RSVP to our College Visit Days Event! Choose one date that works best in your schedule and fill out the following information. If you are unable to attend the date you originally registered for, and would like to switch, please call the Student Services Office at 309-649-6400 (Canton) or 309-833-6069 (Macomb). Come check out either our Canton or Macomb Campus and see what SRC is all about!

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* 1. First Name:

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* 2. Last Name:

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* 3. Email Address:

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* 4. Cell Phone Number:

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* 5. High School:

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* 6. Interest in Career Programs:

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* 7. Interest in Healthcare Career Programs

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* 8. Transfer Education Major

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* 9. Preferred campus to attend the event.

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* 10. Preferred date to attend the event.

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* 11. T-Shirt Size:

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