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CHAC Technology Skills & Distance Education Readiness Assessment

Thank you for applying to CHAC College.  To ensure that only students who can benefit from our programs enter our programs, we require that all new students take a technology assessment.  Thank you for taking the time to complete the assessment below.  
1.Please enter your First and Last Name
2.Please enter today's date:
Date / Time
3.Please select the program you are applying for
4.When is your estimated start date?
Date / Time
5.What is your email address and a good phone number to reach you for any questions related to this survey?