Day in the Life at MCC

Event Check-in will take place in Building 3 in the North side of the R. Thomas Flynn Campus Center (North side closet to the reflection pond)

Note: All of the fields marked with an asterisk (*) are required.

Are you registering as an individual or registering a group?

Individual Student

Group

Student Information

First Name

Middle Name

Last Name

Birthdate

Contact Information

Personal Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Interests

Which program are you most interested in?

Guests

How many guests will be joining you?

Group Contact Information

Contact First Name

Contact Last Name

Contact Phone Number

Contact E-mail Address

Name of Organization

Group Information

Number of Students in Group

If Other, please specify:

Comments or Notes

Child Protection and Mandatory Child Abuse Reporting & Prevention

Please acknowledge that you have read Monroe Community College's Policy (PDF) and Procedure (PDF) for Child Protection and Mandatory Child Abuse Reporting and Prevention.

Please Note: All fields in this section are required.

Yes, I have received and agree to comply with the provided Policy and Procedure documents.

I understand that typing my name is the same as providing my signature.