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CVCC Student Interest Form
Student's Name
*
First Name
*
Last Name
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands (US)
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (the) Americas
Armed Forces Europe
Armed Forces Pacific
Army Post Office (U.S. Army and U.S. Air Force)
Fleet Post Office (U.S. Navy and U.S. Marine Corps)
State
ZIP Code
Home Phone
*
Email
*
High School:
Bandys
Bunker Hill
Catawba Rosenwald
Challenger
Fred T. Foard
Maiden
St. Stephens
Hickory
Hickory Career and Arts Magnet
Newton-Conover
Discovery
When I finish college, I want to have the following job/career.
I am interested in the following program(s) of study at CVCC. (Check All That Apply)
Advertising and Graphic Design
Associate in Arts - College Transfer
Associate in Science - College Transfer
Criminal Justice Technology
Criminal Justice Technology - Forensic Science Concentration
Early Childhood Education
Health and Fitness Science
Infant/Toddler Care Certification
Music
Photographic Technology
Theatre
Visual Art
Accounting and Finance
Air Conditioning, Heating, and Refrigeration Technology
Associate in Engineering - College Transfer
Automotive Systems Technology
Business Administration
Computer Engineering Technology
Computer Integrated Machining Technology
Electrical Systems Technology
Electronics Engineering Technology
Entrepreneurship — Online Program
General Occupational Technology
Horticulture Technology
Industrial Systems Technology
Information Technology: Computer Programming and Development
Information Technology: Information Systems
Information Technology: Networking Management
Information Technology: Systems Security
Information Technology: Web Administration and Design
Mechanical Engineering Technology
Mechatronics Engineering Technology
Office Administration
Turfgrass Management Technology
Welding Technology
Basic Law Enforcement Training
Cosmetology
Dental Hygiene
Electroneurodiagnostic Technology
Emergency Management
Emergency Medical Science
Fire Protection Technology
Health Information Technology
Healthcare Management Technology
Medical Office Administration
Nursing (Associate Degree)
Polysomnography
Radiography
Respiratory Therapy
Surgical Technology
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