South Mountain Community College - Logo
Printer Friendly Layout

Formatted for your printer

Home / Student Services / Recruitment / Counselor Contact Form
Student Services

Counselor Contact Form

Recruitment

South Mountain Community College
7050 S. 24th Street - Phoenix, AZ 85042 - 602.243.8000

Note: This form is not an official application of South Mountain Community College. The information will be used by recruitment staff to help contact and identify prospective students.

Personal Information
Entries marked with * are required fields.

Date:
First Name: *
Last Name: *
Street: *
City: *
State: *
Zip: *
Phone: (i.e., xxx-xxx-xxxx)
Gender:
email *
High School/Room:

Please Send Me Information On the Following

On-Site Advising Visitation
   

How often would you like to schedule high school visitations at SMCC ?