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Online Student Information Form
 
First Name
Last Name
Student Number
Home Phone
Work Phone
Cell Phone
Email Address
Address
City
State
Zip
 
I would like to take my exams at the following location
 
Do you plan to get your LiberArts Associate Degree by mostly taking online classes?
No

I am:
 
Which Degree would you lint to pursue online?
 
Comments or Questions:
 
Toll Free Number
1-800-648-3271
 
Fayette Campus
2631 Temple Avenue N
Fayette, AL 35555
205-932-3221
 
Hamilton Campus
P. O. Box 9
Hamilton, AL 35570
205-921-3177
 
Jasper Campus
1411 Indiana Avenue
Jasper, AL. 35501
205-387-0511
 
Sumiton Campus
P. O. Box 800
Sumiton, AL 35148
205-648-3271
 
Pickens County
Educational Center

491 Tuscaloosa Avenue
Carrollton, AL 35447
205-367-8860
 

“By submitting this form, I am requesting that my major be assigned to Liberal Arts or Business Administration as indicated as above. I also request that my advisor be assigned accordingly (Leslie Cummings for Liberal Arts and Linda McCarley for Business Administration).”

 

 


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