Go to Main Content

 

HELP | EXIT

   

Transparent Image
Information If you have a MyCCRI account you can import your information.

Import Info From MyCCRI Account
User Name:
Password:
Required - indicates a required field.
Information Choose the term you are considering attending CCRI and the major you are most interested in.

Entry Term:Required

Major:Required

Prefix:
First Name: Required
Middle Name:
Last Name: Required
Suffix:

Gender: Male Female Not Specified

Address Line 1:Required
Address Line 2:
City:Required
State or Province:Required
ZIP or Postal Code:Required
Phone Number: - (xxx)-(xxxxxxx)
Date of Birth:Required Month Day Year (YYYY)

Cellphone Number
Number: - (xxx)-(xxxxxxx)
Carrier:
E-Mail Address
E-mail Address:Required
Verify E-mail Address:Required

Information If you are currently attending high school please enter your expected graduation date.

High School Type:
   
High School Code:
High School Name:Required
Address Line 1:
Address Line 2:
City:Required
State or Province:
ZIP or Postal Code:
Nation:
Graduation Date:Required Month Year (YYYY)

How I Learned About :

State:
City:
School:
Transparent Image
Skip to top of page
Release: 8.7.1