Sports and Exercise Students Request Form

* fields are required

First Name: *

Last Name: *

Email: *

Primary Phone Number: *

Street Address:

City:

State:

Zip Code:

Are you currently enrolled as a Tri-C Student:

During which semester are you interested in starting?: *

What time of day do you prefer to take courses (check all that apply):

Morning
Afternoon
Evening
Online

What degree/certificate/course are you interested in (check all that apply):

Associate of Applied Science in Sport and Exercise Studies
Fitness Specialist Certificate of Proficiency
SES 2500: Health and Wellness Coaching Prep course

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