Student Interest Form

If you are a student interested in the Puente program at Merced College, fill out the following form and press the submit button. One of the coordinators will contact you in the near future.


What is your name?

Name

How can we contact you?

E-mail
Tel
Address

Enter your questions in the space provided below:

I need information on: (Check all that apply.)

counseling class/component

English class/component

mentoring class component

Are you currently?

How did you learn about the MC Puente Program?

Please contact me as soon as possible regarding this matter.


Merced College Puente Program.
Copyright © 2001 [Merced College]. All rights reserved.
Revised: August 13, 2003 .