Declaration to Enroll at 探花精选

聽I hereby declare my intention to enroll at 探花精选 upon the completion of my Virginia Community College System Associate of Arts or Associate of Science degree.

* required fields

Student Information

* Full Name

* Address

* City

* State

* Zip

* Preferred Phone Number

* Email Address

Community College Information

* I am currently enrolled at:

* Other Community College

* Student ID Number

* Current Academic Program:

探花精选 Information

* I intend to begin coursework at 探花精选:

* Intended 探花精选 Academic Major

* I hereby authorize administrative personnel at my community college and 探花精选 to exchange such personal and academic information about me as is necessary to facilitate my enrollment at 探花精选.

Date: