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Community Education Application

Community Education Application

Two easy steps to register

Personal Information

Start Term *:
Note: Select when you would like to start your services.
Primary Campus *:
Note: Please select campus location where you will be enrolled.
Expected Graduation Term:
Note: Select when you plan to graduate.
First Name *:
Last Name *:
Middle Name:
Optional: Preferred Name:
Student ID:
Hint: Enter 7 alpha numeric characters.
Birth Date:
Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Gender *:
Pronouns:

Contact Information

Primary Phone Number:
Hint: Enter 10-digit number only.
Secondary Phone Number:
Hint: Enter 10-digit number only.
Email Address *:

Local Address

Address *:
City *:
State *:
Zipcode *:
Hint: Enter zipcode as 97331 or 97331-0000.

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Access and Disability Resources

Rogue Community College
3345 Redwood Highway
Grants Pass, OR 97527-9291

Website: https://web.roguecc.edu/access-and-disability-resources
Email Us: AccessOffice@roguecc.edu

Phone: (541) 956 - 7337
Fax: (541) 471 - 3550

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