Information Request Form

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Please complete the form below. We will send the requested information immediately and inform the departments of your interest in their program(s). If you request class schedules or catalogs that are not yet available, we will forward those to you as soon as we receive them. Thank you for considering Amarillo College!


1. * First Name
2. * Last Name
3. Middle Initial
4. * Date of Birth
5. * Mailing Address
6. Address (cont.)
7. * City
8. * State
9. * Zip
10. Work Phone
11. Home Phone
12. Email Address
13. * Are you still in high school?
Yes
No
14. If you are still in high school, what high school do you attend?
15. I would like more information about:
Academic Applications
Housing
Financial Aid
Honors
Tours
Grants
Scholarship Information
Testing
16. Term you plan to enroll:
17. Academic Program
18. Notes/Additional Information: