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Personal Information

Personal Email Address (please avoid using a school assigned email address)

Personal Email Confirmation (re-enter email address)

First Name (Given Name)

Last Name (Family Name)

Preferred First Name

Birthdate

Mobile Phone Number

Would you like to receive text messages from our office?

Yes

No

Additional Information

Will you need an F-1 Student Visa (I-20) to study at PCC? What is this?
(The most common answer to this question is "no")

Yes

No

Are you currently attending High School?

Yes

No

What year do you expect to graduate?

High School Name

Instructions for Homeschool and Non-US Schools

If you are homeschooled, type "HMS001" and select "Homeschool-General"
If you attended school outside of the U.S., type "INT001" and select "Non-US School"

When would you like to start at PCC?

Program of Study

What questions do you have about the program?