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* 1. Please provide us with your name and contact information.

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* 2. Please identify who you are:

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* 3. What degree program are you registered for at YCCC?

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* 4. I will attend Coyote Connections New Student Orientation on:

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* 5. Please write down the date and time for Coyote Connections New Student Orientation since there is no follow up reminder.

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