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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.

Prospect Entry Term
Entry Term:

Prospect Major
Major:

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

Prospect Gender
Gender: Male Female Not Specified

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

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

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

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

How Prospect Learned About Us
How I Learned About :

State:
City:
School:
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Release: 8.7.1