General Information Request

Related Subjects

An asterisk (*) indicates a required field (it will turn red).

*First Name:     Middle Initial:
*Last Name:
*Email:
*Phone Number:
*Mailing Address:
*City/Town:
*State:
*Zip Code:

Check here to receive future information via e-mail:
Check here to be contacted regarding a tour of our campus:

So we can tailor the information we are sending to you, please answer the following questions:

Are you currently in High School?
Yes No     If yes, enter your graduation year:

Check here if you have attended any class (Swimming lessons, Community Education, or Credit) at UCC in the past:

What will be your prospective major/area of study?

Which term do you anticipate attending the college?
Spring   Summer   Fall   Winter

A packet of Admission, Registration & Financial Aid information WILL be mailed to you at the above address unless you indicate otherwise in the comment section below.

PLEASE NOTE: Due to high cost of mailing, College Catalogs will not be included in the Information Packet.

Please post any questions you may have for our staff below and a member of Umpqua Community College will get back to you. Thank you...

Any additional comments or suggestions?