Grand Island Campus Visit

First Name*

Last Name*

Mailing Address*

City*

State*

Zip Code*

Phone Number*

Email Address

Date of Birth

High School

Year of Graduation

Program(s) of Interest* Select multiple by using ctrl or command keys and clicking on desktop or tap on mobile.

If Academic Transfer, Please Specify

Extracurricular Activities (Check all areas of interest) Campus Crusade for Christ Friendships of Culturally Unique Students (FOCUS) Heartland Toastmasters Club 8346 Intramural Sports National Society of Leadership and Success (NSLS) Phi Theta Kappa Student Activities/Advisory Committee Student Veterans of America Students 4 Sustainability TRiO Student Success Club

Tours are available Monday through Friday mornings, and Monday through Thursday afternoons. Please choose your preferred date(s). Please DO NOT select a Friday afternoon, Saturday or Sunday as we will not be able to honor those dates. Your visit is not scheduled until you receive a confirmation via email from the Central Community College Admissions office.*

First Choice*

9:30 a.m. (Monday - Friday) 1 p.m. (Monday - Thursday)

Second Choice*

9:30 a.m. (Monday - Friday) 1 p.m. (Monday - Thursday)

Third Choice*

9:30 a.m. (Monday - Friday) 1 p.m. (Monday - Thursday)

Guest Name(s) or Number Attending

I would like to meet with a bilingual (English/Spanish) admission staff member.

Admissions & Aid

Schedule an Individual Tour with the Grand Island Campus