Transitional Studies Interest Form - Pitt Community College

Name * Required
First Last
Date of Birth - must be mm/dd/yyyy format * Required
MM slash DD slash YYYY
Address * Required
Street Address Address Line 2 City State ZIP Code
Email * Required
Phone * Required
Please read the descriptions carefully and check one (1) or two (2) program(s) that most interest you: * Required
- Adult High School
- High School Equivalency (HSE, GED®)
- Career Academy
- College and Career Connections
- High School Equivalency Boot Camp
- English Language Acquisition (ELA)
- Transitions Courses - English and/or Math
Please check the campus site(s) that interest you: * Required
Choose all that apply.
- Pitt Community College – Main Campus – Memorial Dr, Greenville, NC
- Pitt Community College – Bernstein Center – Belvoir Hwy, Greenville, NC
- Pitt Community College – Farmville Campus – South Main St, Farmville, NC
- Greenville Housing Authority - West 3rd St, Greenville, NC
- Distance Learning opportunities are available throughout all programs
I have a legal guardian.
- Yes
- No
If yes, please notify intake/orientation/assessment staff upon enrollment in the program.
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