Limestone College

Extended Campus Program

Prospective Student Request for Information

This form is for prospective students only. Please complete the following information request form. We will send you an information packet by return mail. Thank you for your interest in Limestone College.

Personal Information
Name: 
E-mail Address: 
Address: 
City, State, Zip: 
Home Telephone:  (for best service please include this number)
Work Telephone:  (for best service please include this number)

Are you interested in the Internet Program, Evening Classroom Program, or Both?:

How did you hear about the Extended Campus Program? (Friend, Radio, Newspaper,TV,Searching Internet, Phone Book, Other)(If Newpaper,Radio,TV, please indicate which newspaper or which channel)

Any additional requests or comments can be entered in the space below.(i.e. Financial Aid Information, Catalog, etc.)

                        

Return to the Extended Campus Internet home page
Extended Campus Home Page