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Information Request Form

We encourage you to visit our on-line catalog to view and print specific program information. To receive hard copy information in the mail, complete the form below.
Fields with an * are required.

Name:
 *

Business/Company Name (if applicable):

Street Address:
 *

City:
 *

State:  *           Zip:  *

Country:

Phone:  *

E-mail Address:


I would like to request the following information:

Program Interests:

Other Information:
Application Materials (includes cost info.)
College Catalog

Please enter any additional questions, comments, or requests in the space provided below:

Please verify that all information is accurate before you submit this form, then click the "Submit Request" button ONLY ONCE. 
The confirmation page should appear in a few seconds.

Please wait for confirmation screen to appear.

Thank you for your interest in
Chippewa Valley Technical College.

Information requested will be sent by U. S. mail.  Subject to availability, electronic publications sent to your email address may be substituted.


Need information NOW?  Call CVTC at 1-800-547-2882.

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Higher Learning Commission Mark of Affiliation © 2008 Chippewa Valley Technical College
620 W Clairemont Ave Eau Claire, WI 54701
Phone: (715) 833-6200 | Toll-free: 1-800-547-CVTC | Fax: (715) 833-6470