Community Education Class Feedback

• 
  Do you have a suggestion for a class you would like us to offer:
  
• 
  Do you have a preference of time and/or day you would like to take the class:
  
• 
  Do you have a suggestion for a class you would like to teach:
  
• 
  What campus would you prefer to take a class on:
  Wheeling
  Weirton
  New Martinsville
  Virtual
  
• 
  

  First Name: *

  Middle Name: *

  Last Name: *

• 
  

  Phone: *	Contact Preference: * No Preference Phone Email
  E-mail: *

• 
  How would you like to be notified about upcoming classes: *
  Direct Mail
  Social Media
  WVNCC website
  Newspaper
  Digital Ads
  Email
  Text
  Other
  
• 
  If other please list:
  

* = Required