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If
you are interested in taking a Connect For Education course in your State,
please fill out this form. We will contact you if any courses are available in
your area. Also you may want to contact your school to see if any of the
Connect For Education courses are offered in your school.
*
= required information
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First Name |
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Last Name |
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Address |
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| Address
(Apt/Suite) |
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City |
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State |
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Zip |
(5 digits only. Please enter 00000
if you are from a country other than the US)
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Country |
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E-Mail |
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E-mail Validation |
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Phone |
( ) -
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| Fax |
( ) -
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Current Education level |
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School |
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Are you a home-school student? |
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| Date you
wish to enroll |
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Are you interested in earning college credit for taking an online course?
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If you are a student in the US, are you willing to register at an out-of-state
institution?
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Are you an international student?
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What
other courses would you be interested in taking online?
(Check all that apply) |
Music History
Music Theory
Music Fundamentals
Music Technology
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| If
you are interested in receiving credit, is there a particular college you want
to enroll in?
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