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Engineering Launch Interest Form

First Name:

Last Name:

Email Address:

Blinn ID Number:

Data of Birth (MM-DD-YYYY):

Major:

Did you take the SAT or ACT?
Yes No
If yes, please submit your test scores by logging into the myBLINN student portal and completing the Test Score Submission Form.

Did you take the TSI Assessment?
Yes No
If yes, please submit your test scores by logging into the myBLINN student portal and completing the Test Score Submission Form.

Did you take the Blinn Math Placement Exam?
Yes No

Have you completed any college MATH courses?
Yes No
If yes, please send Blinn your official college transcripts.

Which summer semester(s) would you like to enroll in the online math course(s)?

How did you hear about this opportunity?

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The Blinn College District is accredited by the Southern Association of Colleges and Schools Commission on Colleges (SACSCOC) to award associate degrees. The Blinn College District also may offer credentials such as certificates and diplomas at approved degree levels. Questions about the accreditation of the Blinn College District may be directed in writing to the Southern Association of Colleges and Schools Commission on Colleges at 1866 Southern Lane, Decatur, GA 30033-4097, by calling (404) 679-4500, or by using information available on SACSCOC's website (www.sacscoc.org).

The Blinn College District does not discriminate on the basis of race, color, national origin, sex, or disability. For information regarding Title IX, ADA, Section 504, and other anti-discrimination coordinators, see the Student Title IX page.

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