Please complete the information below to be added to our mailing and/or email lists.

I would like to be contacted via:*

First Name*

Last Name*

Email Address*

High School Name*

High School Graduation Year*

Are you currently working on your GED or Adult Diploma?*

Street Address

Address 2

City

State

Zip Code

Preferred Phone

What types of courses do you wish to take?

Select your area(s) of interest:

If you want information on a specific program, please enter that below:

Are you interested in playing a sport at LCCC?*

If yes, please list the sport below:

Additional Comments

vERTHED1stGenerationCollegeStudent