CHS Student Declaration of Interest Form

Student Declaration of Interest Form

First Name

Last Name

Campus

Graduation Year

Major

(if declared)

Your Email

Have you spoken to a campus advisor for the CHS certificate program?

Yes

Enter advisor's name here:

Would you like to join the CHS email list to receive announcements about CHS events and opportunities?

Yes, I would like to subscribe to the CHS email list.

No (I am already subscribed to the CHS email list / I do not wish to be subscribed to the CHS email list)