Counseling Department Quick Question Request 
Please note the * denotes required field.

First Name: *
Last Name: *
Student ID (88#######): *  
E-mail address: *
Confirm E-Mail
Contact Phone Number *
Are you currently enrolled at ELAC? Yes No
Other colleges or universities attended? Yes No
If yes please indicate where
If YES, are your official transcripts(s) on file at the Admissions Office? Yes No
What is your career goal(if not known, put undecided)?
What is your Educational objective (check all that apply)

If checked please specifiy major
Please indicate university campuses you are interested in transferring to.
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Updated on Jan 6th, 2011 9:00 AM