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  *1.   First Name   
 
  *2.   Last Name   
 
  *3.   Street Address   
 
  *4.   City   
 
  *5.   State   
 
  *6.   Zip Code   
 
  *7.   E-mail   
 
  *8.   Phone Number   
 
  *9.   Gender
Male
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*10.   Ethnicity
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Asian or Pacific Islander
Black
Hispanic
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Other
 
*11.   Age Group
Under 18   19-21   22-24   25-29   30+  
 
*12.   Are you currently taking classes at CGCC?
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*13.   What is your major? (If unsure select "Undecided", if major not listed select "Other")   
 
*14.   Please enter your question(s) below. In order to serve you best, please be as specific as possible.
Please Note: Some questions may not be answerable over e-mail and may require individual evaluation and advisement. For these situations please come to the Advising Center to speak with one of our advisors.
 
    

 
Chandler-Gilbert Community College
2626 East Pecos Road, Chandler, Arizona  85225-2499
Phone: 480.732.7000  Fax 480.732.7090

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