Southeastern Community College


Welcome Day Registration

* denotes required information.

* Event Date:

* First Name:

* Middle Initial: enter 'X' if no middle initial

* Last Name:

* Birth Date: in MMDDYYYY format

* E-Mail Address:

* Street:

* City:

* State:

* Zip:

* Phone:  Please include area code

* Program of Study:

* Which message prompted you to register?

You're welcome to bring a guest with you!

Guest Type:

Guest First Name:

Guest Last Name:


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