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Mesa State - Grand Junction, Colorado
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LET US KNOW YOUR EDUCATIONAL NEEDS…

The Office of Extended Studies and Regional Outreach at Mesa State College is your rural educational resource center. We want to find out what courses and programs you need to fulfill your educational dreams.

We need to know what your educational needs are. By completing this survey you will be providing vital information to help Mesa State College meet its mission of bringing the necessary courses and degree programs to you. By completing this survey, you'll be part of our database and we'll let you know when programs that interest you are offered.

1. Which of the following choices below are you MOST interested in? (Choose only one)
Courses Only
Associate (2-yr) degree
Bachelors (4-yr) degree
Masters degree
Doctorate degree
Certificate or endorsement
Other

2. In what major areas/courses are you interested? Just write it in!


3. What times would you prefer to attend classes? (Choose only one)
weekday mornings (8 AM to noon)
weekday afternoons (noon to 4 PM)
weekday evenings (4 to 9 PM)
weekend days (8 AM to 4 PM)
Other

4. What is your current level of education?
High school diploma
Associate (2-year) degree
Bachelors (4-year) degree
Masters degree
Doctoral degree

Please share with us your contact information so we can keep you informed of educational offerings that match your request.

Name:
Mailing Address:
City:
ZIP:
Contact Phone:
E-mail:


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