Adult Learner Orientation

Please provide us with the following information so that we may prepare for your arrival. Students are allowed, but not required, to bring a guest with them. We kindly ask that you refrain from bringing small children with you.

M-Number: (required)
First Name:
Last Name:
MVCC E-Mail:
*You will receive an email reminder the week of the program*
If you would like to receive a text message reminder about this event please fill in your cell phone information below.
Cell Phone:
Cell Provider:
Are you an adult student (over the age of 25)?:
Are you a dislocated worker?:
Are you a US Veteran?:
Guest 1 First Name:
Guest 1 Last Name:
Your Major:

If the student or your guest will require disability-related accommodations while attending orientation please describe them below in detail. Follow up by contacting Tamara Mariotti, (315-792-5413 or ).

I would like to reserve a spot for Tuesday, Aug 18, 2015 from 5:30PM - 8:00PM. UTICA CAMPUS

**Please note that registration begins 1/2 hour prior to the start of the program**

Only hit Submit button once. If application does not submit scroll up and check all required fields and formats.