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Form Owner
Inquiry Form Name
About You
First Name
Last Name
I would like to provide my phone number.
Preferred Phone Number
Email Address
Ex. XXXXXXX@XXXXX.com
Confirm Email Address
Your Plans
Are you an International student (planning to attend on a F or J visa)?
Please select...
Yes
No
Country of Citizenship
What type of student will you be at Valencia College? Choose the one that best describes you.
Please select...
I am interested in earning a degree or certificate (Technical Certificate, Associate of Arts, Associate of Science, Bachelor Degree)
I am interested in short term, hands-on training to enter a new career field or advance a current skillset
I am interested in learning English, Spanish, or Portuguese
I am interested in becoming a Dual Enrolled student, attending high school classes and college classes at the same time
I am currently enrolled in another institution and wanting to take particular courses at Valencia College
I want general information about all options at Valencia College.
Select your area of interest
Please select...
Art, Humanities, Communication and Design
Business
Education
Health Sciences
Industry/Manufacturing & Construction
Public Safety
Science, Technology, Engineering, or Math
Social & Behavioral Sciences & Human Sciences
Undecided
If you are unsure about your area of interest, please type and select Undecided.
If you know your specific program of interest,
begin typing the name of the program below.
(You may leave this field blank if you are unsure)
CREDIT - Art Details
ART Program
ART Degree
ART Concentration
Select your area of interest
CESS Details
CESS Program
CESS GPCE
CESS Degree
CESS Level
CESS Concentration
Select your area of interest
If you are unsure about your area of interest, please type and Undecided.
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AST Details
AST Program
AST GPCE
AST Degree
AST Level
AST Concentration
If you know your specific program of interest,
begin typing the name of the program below.
(You may leave this field blank if you are unsure)
SPS Details
SPS Program
SPS GPCE
SPS Degree
SPS Level
SPS Concentration
If you know your specific program of interest, begin typing the name of the program below.
(You may leave this field blank if you are unsure)
CREDIT - Business Details
Business Program
Business
Degree
Business
Concentration
If you know your specific program of interest,
begin typing the name of the program below.
(You may leave this field blank if you are unsure)
CREDIT - Education Details
Education Program
Education
Degree
Education
Concentration
I
f you know your specific program of interest,
begin typing the name of the program below.
(You may leave this field blank if you are unsure)
CREDIT - Health Science Details
Health Sciences Program
Health Sciences
Degree
Health Sciences
Concentration
If you know your specific program of interest,
begin typing the name of the program below.
(You may leave this field blank if you are unsure)
CREDIT - Industry Details
Industry Program
Industry
Degree
Industry
Concentration
If you know your specific program of interest,
begin typing the name of the program below.
(You may leave this field blank if you are unsure)
CREDIT - Science Details
Science Program
Science
Degree
Science
Concentration
If you know your specific program of interest,
begin typing the name of the program below.
(You may leave this field blank if you are unsure)
CREDIT - Social Details
Social Program
Social
Degree
Social
Concentration
When do you plan on starting classes?
Please select...
Fall 2024
Spring 2025
Summer 2025
Fall 2025
Spring 2026
Summer 2026
Fall 2026
Typical term dates are: Fall (August - December), Spring (January - May), Summer (May - July). Choose the one that is closest to your plans.
Additional Information
How did you first find out about us?
Please select...
Online Search
High School Visit (by College Representative)
College Fair
Campus Visit
Employer
Social Media (Facebook, Twitter, Instagram, YouTube)
Radio Ad
Billboard
Email
Mail/Letter or Postcard
Community Event
Recommended by school counselor/teacher
Recommended by family/friends
Employer
Please select your employer.
Please select...
Advent Health
Amazon
Disney
Grassland Enterprises, Inc.
Goodwill Industries
Mechanical One
Orlando Health
Westbrook Service Corporation
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