Adult Diploma Program Orientation Registration

* fields are required

Thank you for your interest in joining Cuyahoga Community College’s Class of 2024-2025 Adult Diploma Program.

Please complete the requested information below:

Orientation Date: *

The orientation will be held at:
Cuyahoga Community College
Metropolitan Campus
Technology Learning Center 1st floor
2900 Community College Avenue
Cleveland, OH 44115

First Name: *

Middle Initial: *

Last Name: *

Suffix (Jr. or Sr.):

Email Address: *

Phone Number: *

Tri-C S-number:

Age: *

Race (select all that apply): *

Please indicate race: *

Please indicate ethnicity: *

Gender: *

Please indicate gender: *

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