Send Me Information

Information delivered to you electronically or by postal mail.

Submit your information below and we'll send you additional information about the degrees and programs that interest you. If you would like to speak with someone by phone or would like to send us an email, click here.

Step 1: Your details

Indicates all required fields
First Name:
Your first name should be your legal name and not
your nickname.
Middle Name:
Your middle name helps us identify you in case you have the same name as someone else.
Last Name:
Gender:  
Birthdate:
Your birthdate should be entered as mm/dd/yyyy.
Email:
We respect your privacy.
Phone:
Your phone number should be a number where we can easily reach you and entered as xxx-xxx-xxxx.

Step 2: Your mailing address

Indicates all required fields
Street Address:
Your address should be your most current mailing address.
City:
 
State/Province:
 
Postal/Zip Code:
 
Country:
 

Step 3: Your education

Indicates all required fields
High School:
Graduation Year:
Your graduation year should be the year you graduated, would have graduated, or will be graduating from high school.

Step 4: College Plans

College Start Date:
When you plan to start college classes.
Interest Level in Northeast:
Your level of interest in Northeast Community College at this point in your college search.

Step 5: Your interests

Degree & Program Interests:

 
Financial Aid/Scholarships: Let us know if you would like information sent to you about financial aid or scholarships.
On-Campus Housing: Let us know if would like information sent to you about
on-campus housing.
Activity Interests:



Let us know if you would like information on any of the
activities listed.
Class Locations:

Let us know where you are interested in taking classes.

Step 6: Your preferred contact methods

Contact Methods:
What would be the best method(s) to contact you?

Step 7: How did you find us?

How You Found Us:  

Step 8: Security Check

Help us fight bad guys who use "robots" to abuse our website. Enter the words you see in the box, in order and separated by a space.