Request Information

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Your Name

What name do you go by? For example, your name is William, but you go by "Bill."

Your Contact Information

* Home Address:

Your College Plans and Interests

When did/will you graduate from high school or complete its equivalent?

When do you plan to start college?

When you start college, will you be a first-time freshman, or will you transfer credits from another university?

Your Interests

What are your academic interests?

Outside the classroom, which of these activities are you interested in?

Ozarks' Jones Learning Center offers special services for students with a diagnosed learning disability and/or AD/HD. This program is available for an additional fee.

I want to learn about the services available through the Jones Learning Center.

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