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REQUEST INFORMATION FORM - Please fill out completely
Student's Full Name:
Address:
City/State:    Zip:
Home Phone (w/ area code):
Cell Phone (w/ area code):
Email Address:
Birth Date:
Would you like to schedule a campus visit? Yes     No
Have you ever attended academic classes at Glen Oaks? Yes     No
Program of Interest:
I plan to enroll: Fall     Winter     Spring/Summer

Please send me a:

 Catalog     Class Schedule
Application for Admission     Financial Aid Packet
Please send the following brochure(s):
Accounting Programs
Allied Health Programs
Associate of Business
Associate of Applied Science in Business
Associate of Science
Associate of Arts
Associate of General Studies
Computer Information Systems
 Coder Biller
Drafting and Design
Early Childhood Education
EMT - Basic
Medical Assistant
Medical Transcription
Nursing Program
Office Administrative Assistant - Executive
Comments:
For questions call 269.467.9945 or Toll Free at 1.888.994.7818
Glen Oaks Community College - Office of Admissions
62249 Shimmel Road - Centreville, MI 49032