HACC, Central Pennsylvania’s Community College

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Middle Name

Last Name*

Email Address*

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Cell Phone (format xxx-xxx-xxxx)

Would you like to receive text/SMS notification of HACC events and important dates?

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Please enter the number of the cell phone to receive text notifications.

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Are you a Veteran, eligible dependent, or member of the National Guard or Selected Reserves?

Do you have or will you be applying for an F-1 Visa? (International Students)*

YesNo

Are you currently in High School or have graduated from High School in the past year?

YesNo

Academic Interest Area (If unsure, please select Undecided.)

(If unsure, please select Undecided.)

Which campus do you plan to attend?* (If pursuing your ENTIRE degree online, please select the campus nearest you.)

(If pursuing your ENTIRE degree online, please select the campus nearest you.)

When do you plan to start taking classes at HACC?Fall (August), Spring (January), Summer (May and July)

Fall (August), Spring (January), Summer (May and July)

Are you interested in pursuing your ENTIRE degree online?

Do you intend to take at least one online course?