NAME

ADDRESS

COUNTY: MONMOUTH OCEAN OTHER Other:

PHONE NUMBERS

EMAIL ADDRESS:

1. HOW DID YOU HEAR ABOUT THE COMMUNIVERSITY?
NEWSPAPER AD OR ARTICLE RADIO POSTCARD COMMUNIVERSITY BROCHURE FRIEND OR RELATIVE SURFING THE WEB OTHER Other:

2. DO YOU CURRENTLY HAVE A COLLEGE DEGREE? Yes No
IF "YES" - COMPLETE BELOW AND GO TO QUESTION 4
IF "NO", GO TO QUESTION 3

4. PROGRAM OF INTEREST AT THE COMMUNIVERSITY:
ASSOCIATE DEGREES
BUSINESS ADMINISTRATION EDUCATION COMPUTER SCIENCE HUMANITIES - LIBERAL EDUCATION NURSING OTHER Other:
PREFERRED LOCATION BCC OCC Communiversity

BACHELOR DEGREES:
SPECIAL ED ACCOUNTING MARKETING BUSINESS ADMIN: MANAGEMENT COMPUTER SCIENCE INFORMATION SYSTEMS LABOR STUDIES LIBERAL STUDIES NURSING OTHER Other:

MASTER DEGREES
EDUCATION ADMINISTRATION INFORMATION SYSTEMS PROF & TECH COMMUNICATIONS ENGINEERING MANAGEMENT NURSING SELECTED STRANDS OTHER Other:

GRADUATE CERTIFICATES
COMPUTER NETWORKING INFO SYS DESIGN AND DEVELOPMENT OBJECT-ORIENTED DESIGN INTERNET APPLICATION DEVELOPMENT PROJECT MANAGEMENT PRACTICE OF TECHNICAL COMM E-COMMERCE PROGRAMMING ENVIRONMENT TOOLS INTERNET SYSTEMS ENG TELECOMMUNICATION NETWORKING

5. WHEN WOULD YOU LIKE TO BEGIN AT THE COMMUNIVERSITY?

  STUDENTS WHO WANT TO START IN FALL 01 WILL BE CONTACTED TO
  MEET WITH THE COMMUNIVERSITY GENERALIST AS SOON AS POSSIBLE.

  STUDENTS WHO WANT TO START AFTER FALL 01 WILL BE CONTACTED
  DURING THE FALL SEMESTER TO DISCUSS THEIR FUTURE PROGRAM. REFER 
  TO THE COMMUNIVERSITY WEBSITE FOR ADDITIONAL INFORMATION.