Pikes Peak State College Logo

Fall 2016 SSS/ DSSS Student Success Conference

Complete this registration for the Fall SSS/ DSSS Student Success Conference. PPCC encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact our office at 502-3333

Background Information

Please include your name and contact information. Note that name should be entered last name first and emaill address should be college assigned student email.

Enable additional features by logging in.

Your full name:

Your position/title:

Your phone number:

Your PPCC email address:

Email address must be of a valid format.

Your physical address:

Time of incident:

Specific location:

Tell us about you?

PPCC Student Number

Involved party 1

ID Number

Available Workshop

Please choose one workshop per session in order in have right materials available ready for you

Select which workshop you plan to attend. Session#1 10am- 10:50am(Required)

Right on the Money CCAMPIS New Student Session

This field is required.

Select which workshop you plan to attend. Session#1 11am- 11:50am(Required)

Keeping Your Financial Aid Daniels Boundless Opportunity Scholarship Recipient Orientation Smart Budgeting

This field is required.

Will you attending the Lunch? Please indicate yes or no(Required)

Yes No

This field is required.

Do you have Dietary Restrictions?(Required)

Gluten

Diary

Shellfish

Peanuts

Other

None

You must make at least one selection.

Meet the Four Year Colleges, Door Prizes and Evaluation Please indicate yes or no(Required) This field is required.

Select which workshop you plan to attend. Session#1 1:30pm- 2:30pm(Required)

CCAMPIS General Meeting

This field is required.

Submission

Email me a copy of this report