Please complete the form below to receive information about the (Re)Connect to College program at Cleveland State University. Please visit the Contact Us page if you have any questions. First Name * Last Name * CSU ID# (if applicable) (OPTIONAL) Please skip if you do not have a CSU ID# or are unsure. Cell/Phone Number * Email Address * Please list all colleges or universities previously attended. * Example: Kent State University, Cuyahoga Community College, Cleveland State University, etc. Which semester would you like begin classes at Cleveland State University? (OPTIONAL) Example: Spring 2018, Summer 2019, Fall 2019. If unsure, please skip. Additional Questions * YesNoUnsure Have you been contacted by College Now? * Have you been contacted by College Now? - Yes Have you been contacted by College Now? - No Have you been contacted by College Now? - Unsure Have you already applied for re-enrollment? * Have you already applied for re-enrollment? - Yes Have you already applied for re-enrollment? - No Have you already applied for re-enrollment? - Unsure How did you hear about this program? Leave this field blank
