Program Interest Form

Want more information about a major? Please complete this Program Interest Form.
Please respond to the form below if you would like to receive information about how to enroll in a curriculum program at Wilson Community College. Here is the link to our Admissions page: https://www.wilsoncc.edu/admissions/.
Name

First NameLast Name
Birthdate

MonthDayYear
Date
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
How would you prefer to be contacted?
Do you plan to enroll for the upcoming year?
Are you currently in high school?
If so, which one?
Please select your program/major of interest.
Please list any specific questions you have below. (Not required)
Should be Empty:

Want more information about a major? Please complete this Program Interest Form.