PROSPECTIVE STUDENT INTEREST FORM

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Personal Information
Name
Address
City
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Zip Code
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IM Address
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Education
High School Name, City & State
I am a:	2006 or earlier H.S. Grad 2007 H.S. Grad 2008 H.S. Grad 2009 H.S. Grad 2010 H.S. Grad2011 H.S. Grad 2012 or later H.S. Grad Returning Adult Student
The following information is optional and not required for ECC admissions.
High School GPA
ACT Scores
SAT I Scores
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16007 Crenshaw Blvd. Torrance, CA 90506
Phone: 1.310.532.3670 Toll Free:1.866.ELCAMINO (1.866.352.2646)
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