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I am a new Moraine Valley student enrolling in my first year of a Career Program (Automotive, Welding, HVAC, Culinary, Basic Nursing Assistant Training or Phlebotomy).
Yes
No
I am currently taking or or plan to take Medical Terminology during the fall 2026 or the spring 2027 semesters.
Yes, I am enrolled or plan to enroll in a Medical Terminology class in the fall 2026 semester.
Yes, I am enrolled or plan to enroll in a Medical Terminology class in the spring 2027 semester.
No, I am not currently nor do I plan to take Medical Terminology at Moraine Valley..
I have been tutored or am currently being tutored at the Moraine Valley Tutoring Center.
Yes
No
Have you personally experienced or been affected by domestic violence?
Yes
No
I prefer not to disclose
I am a service member or veteran of the U.S. military and can provide proof of a DD 214.
Yes
No
I have taken or am currently taking developmental math or English classes at the college.
Yes
No
I am a business major enrolled in or planning to enroll in the Financial Literacy Certificate Program during the fall 2026 and/or spring 2027 semesters..
Yes
No
Are you an employee of the Moraine Valley Community College library?
Yes, I am a student employee or work study student employee at the Moraine Valley Library.
Yes, I am a full-time employee of the Moraine Valley Library.
Yes, I am a part-time employee of the Moraine Valley Library.
No, I am not employed with the Moraine Valley Library.
I completed or am in the process of completing my GED program while at Moraine Valley Community College.
Yes
No
I have taken or I am currently enrolled in the Medical Terminology class.
Yes I have already taken or I am currently enrolled in the Medical Terminology class at Moraine Valley.
No I am not enrolled in the Medical Terminology class at Moraine Valley.
I am an employee of the FitRec Center and am in good standing with the Department of Campus Recreation.
Yes
No
Please check all that apply to you:
I am a single parent
I am the child of a single parent
I have suffered the loss of a parent
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