College Representative Visit Sign-up

	Instructions Complete a seperate form for each college.
	Select School* EJCHS JCCHS
	College, Date, and Time of Visit (JCCHS) Emmanuel College - November 15, 2011 during ELT
	Student First Name*
	Student Last Name*
	Student Email*
	Student First Period Teacher Name
	Student Second Period Teacher Name
	Student Fourth Period Teacher Name

	Note: You will be called from class. If you attend Gordon Street during the scheduled time of the visit, report to the counseling office at the beginning of the period instead of going to Gordon Street.
	I have read the statement above about Gordon Street.