Interest Form

This form should be completed if you are a student who has previously attended Guttman Community College, but has not been in attendance for one or more terms, and did not graduate from Guttman.

What is your EMPILID number? - Found on the back of your Guttman ID card. If you do not know, type I don't know.
First Name:
Last Name:
If in-person is preferred, please select which orientation date you would like to reserve.
What is the best email to reach you at?
What is the best phone number to reach you at?
Did you formally request and get approval for a Medical Leave of Absence from the College?
Would you like to sign up for text reminders about this event? - Reminders would be sent to the number listed above.