Fillable ITI/CIS INTEREST FORM (Wayne County Community College District)

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ITI/CIS INTEREST FORM (Wayne County Community College District)

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12/2015
ITI/CIS INTEREST FORM
Name: ________________________________________ ________________________________
LAST NAME FIRST NAME
A# (for current students): ____________________________________________________________
Address: ________________________________________________________________________
County: ______________________________
City: ________________________________ State: __________________ Zip:______________
Phone: ______________________________ Email: ____________________________________
Please check the box next to the ITI/CIS program(s) you are interested in:
Computer Information Systems: AAS Office Information Systems: AAS & CERT
Business Analytics: CERT Office Specialist: CERT
Network Administrator: CERT Application Developer: CERT
Computer Support Specialist: CERT Cyber Security: CERT
Database Administrator: CERT Cloud Computing: CERT
Website Developer: CERT Drone Programmer: CERT
Video Game Design & Animation: CERT
Office Information Systems - E-Business: CERT
Click ‘Submit’ to send completed form to cisprograms@wcccd.edu
You may also fax the completed form to 313-255-7627
Wayne County Community College District
Northwest Campus President’s Office
8200 W. Outer Drive, Detroit, MI 48219
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ITICIS INTEREST FORM (Wayne County Community College District)

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Completed 18 September 2020

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