Lincoln Land Community College

Join us for the WELLCCOME Open House
Wednesday, July 8, 2009 from 5-7 p.m.

Open House Registration for Adult Learners (high school graduates, any age)

If you are a high school student, please register using this form.

Full name of adult learner attending:
First:    Last:

Name of guest(s) attending (separate names with commas):

My primary guest  

Street or P.O. box:

City:

State:

Zip:    Phone:
Email:

Intended college major:  

Have you submitted an Application for Admission to LLCC?

How did you hear about Open House?  

Comments:



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