NJC Summer College Tours 2017
Please complete the form below:
Are You A Member Of NJC?
*
Select
Yes
No
If No, Which Church Are You A Member Of?
Student's First Name
*
Student's Middle Name
Student's Last Name
*
Student's Grade
*
Select Grade
12th Grade
11th Grade
10th Grade
9th Grade
8th Grade
7th Grade
6th Grade
Student's Sex
*
Select Sex
Male
Female
Title
*
Select
Dr.
Mr.
Ms.
Miss
Mrs.
Parent First Name
*
Parent Middle Name
Parent Last Name
*
Address
*
City
*
Zip / Postal
*
State / Province
*
- - Choose One - -
- - US States - -
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
- - Canada Provinces - -
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Email Address
*
Parent's Cell Number
Student's Cell Number
Which location do you need transportation to and from?
*
Select Location
North Campus - 5708 Old Canton Road
South Campus - 1285 Raymond Road
Alta Woods Campus - 168 Colonial Drive
MidTown Campus - 183 Noel Street
Which tour(s) you plan to attend?
*
Select Tour(s)
June 7th - Tougaloo College @10:30am
June 7th - Jackson State University @1:00pm
June 14th - Virginia College @11:00 am
June 14th - Millsap College @1:30pm
June 21st - Hinds Community College @11:00 am
June 28th - Alcorn State University @11:00am
July 5th - Southern Mississippi @11:00 am
July 12th - University of Mississippi (Ole Miss) @1pm
July 19th - Explore Local Business’ Day
July 26th - Mississippi State University @10:00 am