Continuing & Extended Education

Internet Brochure Request and Mailing List Form
Please provide the following information below in order to be added to the John F. Kennedy University, Office of Continuing & Extended Education mailing list:

First Name
Last Name
Street Address
City
State
Zip Code
Phone Number ..
Email Address
How did you hear about JFK University Continuing Education?

Relative
Friend
Staff
Faculty
Therapist
Student
Alumna/us
Regent
Library
Advertisement: Which Publication?
TV
Phone Book
Live in Area
Poster/Flyer
Website
University Sign
Word of Mouth
Business Associate
Other College
Radio: Which Station?
Have you ever taken classes at JFKU? Yes: No: Not Sure:
Would you like a copy of the current brochure mailed to you? Yes: No: