Declaration to Enroll at 우챔팎썩경

혻I hereby declare my intention to enroll at 우챔팎썩경 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:

우챔팎썩경 Information

* I intend to begin coursework at 우챔팎썩경:

* Intended 우챔팎썩경 Academic Major

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

Date: