8TH ANNUAL STUDENT SUCCESS CELEBRATION
PLEASE JOIN US FOR THE 8TH ANNUAL STUDENT SUCCESS CELEBRATION IF YOU HAVE BEEN ACCEPTED TO A 4-YEAR UNIVERSITY OR ARE GRADUATING WITH YOUR AA, AS, AA-T, AS-T DEGREE OR CERTIFICATE.
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LAST NAME *
FIRST NAME *
RHC STUDENT ID # *
PLEASE MAKE SURE TO INCLUDE HYPHENS (EXAMPLE: 000-00-0000)
CELL PHONE # *
EMAIL ADDRESS *
EMAIL YOU CHECK REGULARLY (PREFERABLY A NON- RIO HONDO EMAIL)
NUMBER OF ADDITIONAL GUESTS *
MAXIMUM 2
CHECK ALL PROGRAMS YOU HAVE PARTICIPATED IN *
Required
WILL YOU BE TRANSFERRING FALL 2016? *
IF YES, WHERE WILL YOU BE TRANSFERRING TO?
PLEASE LIST THE UNIVERSITY THAT YOU WILL BE ATTENDING FALL 2016
WILL YOU BE GRADUATING WITH AN AA, AS, AA-T, OR AS-T DEGREE? *
IF YES, WHAT MAJOR
DO YOU OR ANY OF YOUR GUESTS REQUIRE SPECIAL ACCOMMODATIONS BECAUSE OF A DISABILITY? *
If you or your guest require assistance because of a disability, please contact DSPS at 562-908-3420 or mmatsui@riohondo.edu
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