Thank you for applying to CHAC College.  To ensure that only students who can benefit from our programs enter our programs, we require that all new students take a technology assessment.  Thank you for taking the time to complete the assessment below.  

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* 1. Please enter your First and Last Name

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* 2. Please enter today's date:

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* 3. Please select the program you are applying for

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* 4. When is your estimated start date?

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* 5. What is your email address and a good phone number to reach you for any questions related to this survey?

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