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Explore AWC Reservation Form

NSO_Explore

*denotes required field
Student Name*

Last

First

MI

 AWC Student ID
 Date of Birth*
 

Mailing Address *

Street

City

State

Zip

Phone*
-- 
AWC E-mail

Alternate E-mail

Age Range
years
AWC Major/Program of Study or Interest Area*

Is this your first semester attending AWC?* Yes No

Will you be attending AWC full-time (12 or more credit hours) or part-time (less than 12 credit hours)?* Full-time Part-time

Are you transferring from another college or university?* Yes No

Are you a military veteran?* Yes No

Are you living on campus?* Yes No

Are you participating in an AWC Athletic Team?* Yes No
If yes please list which sport

Please select the session you would like to attend:*

Wednesday, January 8th, 5:30pm-7:30pm, PARKER LEARNING CENTER
(For students taking classes in Parker or Quartzsite)
Friday, January 10th, 1pm-4pm, MAIN CAMPUS

Guest Information

If you are attending a session indicated as Parents Welcome, you are welcome to bring 1-2 parents, guardians, or support persons to Explore AWC: New Student Orientation.

Guest 1

Name
Guest 2

Name

If you need any special accommodations during the orientation program, please contact AccessABILITY Resource Services at (928) 344-7674.

*denotes required field


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