Summer Program Registration

Please fill out the form below and click submit. All fields are required.

Student's Name:
M00#:
Gender:
Anticipated Major:
Address:
City:
ZIP:
Home Phone:
Cell Phone:
MCC Student Email:

I will attend the EOP Summer Program from July 6, 2015 through July 31, 2015:

— If yes, please complete the section below:

 
Please rate each item in relation to YOUR needs (high, medium, low). YOUR responses will be used in assigning you a roommate.

Need for early bedtime (before midnight):
Need for an orderly room:
Need for quiet while studying:

Please indicate any special dietary needs below (i.e. vegetarian, Kosher, etc.)


Please indicate any health concerns that we should be aware ( i.e. asthmas, diabetes, epilepsy, etc.)


 

Smoking Policy: MCC is a smoke free campus. There are NO designated smoking areas allowed on campus.

Confirmation of your registration status will be sent to your MCC student account. If you do not receive confirmation, please contact the EOP Office immediately.

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