Information Request

If you have a question or would like information about a specific program at COM, fill out and submit the form below.

* indicates required information

First Name:

Middle Name:

Last Name:

Mobile: Authorize text message

Other Phone:

Student Email:

Date of Birth:
mm/dd/yyyy

Gender Male Female

I would like to specify

I am a Prospective Student First-Time Freshman Returning Student Transient (Enrolling for one semester) Transfer Student International Student

Anticipated Start Term Spring 2020 Summer 2020 Fall 2020 Spring 2021 Summer 2021 Fall 2021

High School Graduation Year

Mailing Address

Street Line 1

Street Line 2

City

State

Zip Code

Country

Admissions

Possible Major 1 Arts Business Health Human & Consumer Science Humanities Industry Public Safety STEM

Possible Major 2 Arts Business Health Human & Consumer Science Humanities Industry Public Safety STEM

General Interests

Intramural/Club Sports Newspaper/TV/Radio Special Interest Groups

Your Question (optional)