Complete and submit this form and a member of our Student Services staff or other college professional will contact you to set up your virtual assistance session. First Name * Last Name * Mailing Address * City * State * ZIP * Most Recent School Attended * Cell Phone Number * Email Address * Student Type * Current ECCC Student (Attended Spring and/or Summer Term) New Student (First Time Attending) Returning Student (Previously Attended ECCC) Transfer Student (Attended Another Institution) I Need Virtual Assistance For * Registering for Classes Filling out the Admissions Application Completing the Admissions Process Financial Aid Help with an Online Class Other (please explain below) Explain "Other" I Would Prefer Assistance By * Zoom Video Meeting Telephone Call My Questions can be Answered by Email Preferred Method of Initial Contact * Cell Phone Email Preferred Date for Virtual Meeting (Mondays-Thursdays Only) * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20242025 Preferred Time for Virtual Meeting * Hour Hour8 am9 am10 am11 am12 pm1 pm2 pm3 pm : Minute Minute0030 Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.