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Prospective Students

Home / Prospective Students / Admissions Appointment / Admissions Appointment Request Form

To schedule an appointment with an admissions representative please complete the following form.

(* Required)  
Name *
Address *
City
State
Zip Code *
Daytime Phone *
Evening Phone *
Email
Birth Date (mm/dd/yy) *
Best Time to Contact you
Area of Academic Interest
Year/Term of Interest
High School Attending
Year of Graduation
Which campus would you like to attend for your admissions appointment? Main Campus in Schnecksville (Route 309)
  The Donley Center (718 Hamilton St. Allentown)
  The John & Dorothy Morgan Center for Higher Education (234 High Street, Tamaqua)
  Carbon Center (Nesquehoning)
Have you ever taken classes at LCCC in the past? Yes
  No