Complete your degree

First and last name*

Former last name (if applicable)

Do you have a preferred method of contact?*

Phone

Text

Email

Contact information*
your phone number or email address

I am a*

Are you pursuing a 2-year career or workforce degree or short-term certificate?*

Are you pursuing a transfer degree, such as the Associate of Arts or Science degrees?*

Additional details about the degree you want to complete

Why do you want to complete your degree?*

Do you meet any of these criteria?*

Are you low-income?

Did either of your parents complete a bachelor's degree before you turned 18?

Are you currently or have you been previously out of work?

Do you have a disability?

This helps us determine financial assistance that might be available.

Additional comments

Do you have a preferred time of day for communication?*

Weekdays - early morning (7am-9am)

Weekdays - morning (9am-12pm)

Weekdays - afternoon (12pm-5pm)

Weekdays - evening (5p-7pm)

Select all that apply.

How soon would you like to return to school?*

I'm ready to return as soon as possible

I'm interested in returning within the next 6-12 months

I'm interested in returning in more than 12 months

I'm not sure, let's discuss my options

Why did you stop attending college?*

Financial constraints

Started a new job

Balancing the needs of my family

Lack of support from friends, family, and others

Needed to care for my children

Lost interest in the degree I was pursuing

Other

Is there anything else you would like us to know?

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