Solar Energy Program - Student Fact Sheet

Click on the option button in front of your answer to each question in this form.

When finished, click the Submit button.

1. First Name*

2. Last Name*

3. Address*

4. City*

5. State*

6. Zip Code*

7. Email Address

8. Home Phone (XXX-XXX-XXXX)

9. Cell Phone (XXX-XXX-XXXX)

10. Date of Dirth (XX/XX/XXXX)

11. Current AC Student ID (if available):

12. * Educational Goal Certificate Degree Both

13. * Are you a full time or part time student? Full Time Part Time Neither

14. * Do you have any College Hours? Yes No

15. * Have you taken an AC placement test? Yes No

16. * Is your transcript on file with Amarillo College? Yes No

17. Why are you interested in the solar energy program? *