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Undergraduate Inquiry Form

Your Information

First Name*:
Middle Name:
Last Name*:
Address*:
Address 2:
City*:
State*:
Zip/Postal Code*:
Country*:
Date of Birth*:	Month:   Day:   Year:
Phone Number*:
Cell Phone Number:
E-mail*:
Verify E-mail*:
Gender*:	-Choose- Female Male Prefer not to Respond
Ethnicity*:

Previous Education

High School Name:
High School Code:
College Attended	(if applicable)
College Name:
College Code:
Other College Attended	(if applicable)
Other College Name:
Other College Code:

Your Plans

High School Graduation Year:*
When Will You Attend?*:
How Did You Hear About Us?*:	-Choose- Alumni Art Teacher CCS Students College Catalog College Representative Guidance Counselor Portfolio Day Advertisement Portfolio Day Event Internet Family Member Friend Faculty Campus Event Radio Ad Detroit Auto Show Magazine CCS Mailing College Fair Counseling Office Staff CCS Publication Facebook MySpace Other Social Network
Major Area(s) You Wish to Study*:	(you must check one and may check more than one)
	Advertising Design
	Entertainment Arts          Character and Experimental Animation, Game Art, Video/Live Action
	Art Education
	Crafts         Art Furniture, Ceramics, Fiber Design, Glass, Metalsmithing and Jewelry Design
	Fine Arts         Painting, Print Media and Sculpture
	Graphic Design
	Illustration
	Interior Design
	Photography
	Product Design
	Transportation Design
	Post Degree Art Education – Teacher Certification Only

Communicating With You

How would you prefer to hear from us?*:	(Check all that apply)
	Text Messaging
	Email
	US Mail
	I would still like a hard copy of CCS' View Book. (Course descriptions can be found on our website.)
Are you a part of...?:	(Check all that apply)
	Facebook
	MySpace
	Other - please list
Would a parent or family member like postcards, emails, or text messages regarding the College for Creative Studies? (Check all that apply)*:
	No, my parent or family member would not like to receive this information
	Email - if yes, please provide parent or family member email address
	Text - if yes, please provide parent or family member cell phone
	Postcards