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    This document is an application for Kellogg Community College. It requests information such as preferred class times on Saturdays and Sundays, whether the applicant wants to attend part-time or full-time, and contact information including name, address, phone number, and email. Fields marked with a red asterisk are required to submit the application. Additional questions may appear depending on previous answers.

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    This document is an application for Kellogg Community College. It requests information such as preferred class times on Saturdays and Sundays, whether the applicant wants to attend part-time or full-time, and contact information including name, address, phone number, and email. Fields marked with a red asterisk are required to submit the application. Additional questions may appear depending on previous answers.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    13 views1 page

    Img 20150415 0002

    Uploaded by

    api-277027165
    This document is an application for Kellogg Community College. It requests information such as preferred class times on Saturdays and Sundays, whether the applicant wants to attend part-time or full-time, and contact information including name, address, phone number, and email. Fields marked with a red asterisk are required to submit the application. Additional questions may appear depending on previous answers.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    7

    Kellogg Comm unity College

    4t13t2015

    What time do you prefer to take classes


    on Saturday?

    Don't Plan to Attend These Day(s)


    What time do you prefer to take classes
    on Sunday?

    Don't Plan to Attend These Day(s)


    Do you want to attend college full or part
    time?

    Part Time

    Please enter your information in each of the following sections. Fieids with e red asterjsk

    (*) are

    required and must i:e completed before you dan submit your apBlication, Actditional queslions
    may become required basei on your answers to a previous question.

    l\arne
    Legal First Name

    austin

    Legal Middle Name

    james

    Legal Last Name

    Suffix

    buchanan
    Preferred First Name

    Former Last Name

    austin
    Military Affiliation *
    None of the above

    Permanent Address
    Check if address is outside of U,S. or
    Canada
    No

    Address

    29951 H Dr

    Address (cont)

    CitY

    AIbion

    State/Province *

    ZiplPostal Code *

    Michigan

    49224-9414

    County *
    Calhoun

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