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Please select the program that you'd like to register for:
Birth Date (MM/DD/YYYY):
Social Security Number: (123-45-6789)
Please select the gender with which you most identify:
Your race (select one or more):
Your Ethnicity (check box)
Education (highest completed):
I have been a resident of Maine since (MM/DD/YYYY)
Please enter both your home and mobile phone numbers; if you only have one primary phone number, that should be entered in both fields.
Do you also wish to have this application be treated as an application for admission to CMCC?
What year and term would you like to begin courses?
Choose a program of study:
What type of student will you be?
Please select an Entrance Type
By submitting this form, I grant CMCC permission to share my educational records, including registration, attendance, progress, and results, with the Maine Community College System for grant reporting purposes.
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