Northeast Community College

Main Campus:

Norfolk, Nebraska

68702

(800) 348-9033

(402) 371-2020

Regional Education Centers:

Additional Links

Information Request Form

Name
Last Name
First Name
Middle Name

Birthdate
- -

Social Security
- -

Mailing Address
Street or P.O. Box
City , State ZIP

Phone:

Sex:
Male Female

High School

Grade Level
9 10 11 12 High School Grad / GED / Other

E-Mail Address (optional)

ACTIVITIES
(Please Check if interested)

Basketball
Speech
Theater
Journalism

Ambassadors
Vocal Music
Instrumental Music
Livestock Judging Team
Rodeo

Please send me information about the following program(s): Choose 3 different programs

More Information

Sandy Hilliges
(402) 844-7280
sandy@northeastcollege.com