Request for Information

To best serve you please share the following information:

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Parent/Guardian's First Name

Parent/Guardian's Last Name

Parent /Guardian's Email Address

Anticipated Entry Term

Academic Area of Interest

Academic Program of Interest

Are you an international student?

Yes

No

Have you applied or are you planning to apply for the state of Michigan Reconnect Scholarship?

Yes

No

Don't Know

Have you applied or are you planning to apply for the state of Michigan Achievement Scholarship?

Yes

No

Don't Know

Are you interested in scheduling a College Conversation ?

Yes

No

Are you considering transfer after studying at MCC?

Yes

No