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Do you currently reside in the Kishwaukee College district?
Yes
No
Are you interested in pursuing a career in:
Art/Music
Auto/DPT
Aviation
Business (Marketing, Management)
Education
Finance (Accounting)
Horticulture & Agriculture
Nursing
Radiology
Science (Biology, Chemistry)
Technology (CIS)
Welding
Writing / Journalism
None of the Above
Which of the following areas of study will you be pursuing?
History
Economics
Social Science
None of these
To select multiple items, hold control or command and click each one.
Have you resided in the Kishwaukee College district for over 10 years?
Yes
No
Is your disability documentation from a qualified medical professional on file with Disability Services?
Yes
No
Please give a short description of your military service.
Which Instructor approved your Internship?
Has your Horticulture Instructor approved your internship?
Yes
No
Have you served in the US Military?
Yes
No
How many years have you lived in the Kishwaukee College District (enter a numerical value- for example: 10, 15, etc.)
Please enter a number. You can use a decimal, but exclude any other symbols.
Will you graduate from Rochelle Township High School by the time your classes at Kishwaukee College begin?
Yes
No
Best phone number to reach you with questions?
Please enter a phone number formatted like 555-555-5555.
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