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. * City:
7. * State:
8. * Zip:
9. Work Phone:
10. * Home Phone:
11. Email Address:
12. * Are you currently attending high school?
Yes
No
13. If yes, what high school do you attend?
14. Current Grade:
9
10
11
12
15. I would like more information mailed to me about:
Admissions
Scholarships
Financial Aid
Testing
Campus Tours
Student Activities
Honors Program
New Student Orientation
16. Major/Career Interest:
17. Anything else?