Glendale Community College : Fast Track Application

Please Note: (*) indicates responses are required.

1. Your First Name*

First Name:

2. Your Last Name*

Last Name:

3. GCC ID#*

ID:

4. What is your email address?*

Email:

5. Phone Number (555) 555-5555

Phone:

6. What is your GCC Math Placement Test result?*

Entry into Math 141 or 245

Entry into Math 141 or 119/219

Entry into Math 119/219

Other:

7. Last Math Class for which you received a grade of C or better:*

Algebra I

Geometry

Algebra II

Math Analysis

Other:

8. What is your Major?

Major:

9. What is your GCC Educational Goal?*

Transfer

AA degree

Certificate

Other:

10. When do you expect to achieve the above goal?*

Spring 2012	Fall 2012	Spring 2013	Fall 2013
Spring 2014	Fall 2014	Uncertain

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