College Success Workshops for Current Cougars

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Fill this form out to register for a Workshop.

You will receive a confirmation e-mail with the time date, and location details. You will also receive a reminder phone call the evening before the workshop.

First Name *

Last Name *

Email Address *

Phone Number *

Are you currently enrolled in an ACA course? *

If you are enrolled in an ACA course, which class are you enrolled in? *

If you are enrolled in an ACA course, who is your instructor? If you are not, write N/A in the box below. *

Choose a Workshop date: *

Note: If you plan to attend more than one, you will need to fill out this form for each workshop.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of CCCC.EDU. Report Abuse

Forms