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Do you currently reside in the Kishwaukee College district?

Are you interested in pursuing a career in:

Which of the following areas of study will you be pursuing? 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.