Inquiry Form

Contact Information

First Name

Last Name

Email Address

Confirm Email Address

Mobile Phone

ex. 123-456-7890 or +1-123-456-7890

Birth Date (MM/DD/YY)

Current Address Line 1

Address Line 2

City

State/Province Alabama Alaska Alberta American Samoa Arizona Arkansas British Columbia California Canal Zone Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Military Americas Military Europe Military Pacific Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland and Labrador North Carolina North Dakota Northern Mariana Islands Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Republic of Palau Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon

ZIP/Postal Code

Anticipated Semester Start 25 Fall 8/20/25 - 12/9/25 25 Summer 6/12/25 - 8/7/25

Admit Type First-time Freshman (Students first time taking college courses after completing high school or GED) High School (Dual Enrollment) Non-Degree Seeking Returning Student (Returning to Chesapeake after application ended) Transfer (Student has earned credits at another institution) Visiting Student (Temporarily attending from another college)

Intended Academic Program Accounting Accounting Advanced Certificate Accounting Basic Certificate Accounting Letter of Recognition* African American Studies* Agriculture Biological Sciences Degree Business Administration Degree Business Management Business Management Certificate Business Management Letter of Recognition* Computer Science Technology (CST) Criminal Justice - A.A.S. Degree Criminal Justice Certificate Early Childhood Development - Basic Certificate Early Childhood Development Certificate Early Childhood Development Degree Early Childhood Education/Early Childhood Special Educat Early Childhood Letter of Recognition* Elementary Education/Elementary Special Education AAT Emergency Medical Services Certificate Emergency Medical Services Degree Engineering Technology - Drafting & Design Environmental Science Degree General College Studies Degree Global and Intercultural Studies Certificate Health Sciences Certificate* Health, Fitness & Exercise Science (Ex. Sci.) Human Services - Addictions Counseling Certificate Human Services - Behavioral Health Area of Concentration Deg Information Technology Liberal Arts & Sciences: Ag Concentration Degree Liberal Arts and Sciences Degree Non-Degree - Self Interest* Non-Degree Dual Enrollment* Nursing: Registered Nurse Physical Therapist Assistant Degree Pre-Veterinary Technician Ct. Radiologic Sciences Secondary Education: Chemistry Aat Secondary Education: English AAT Secondary Education: Mathematics AAT Secondary Education: Physics Aat Spanish - AAT Surgical Technology AAS. Degree Teacher Education: Teacher Aide Technical/Professional Studies Theatre and Performance Studies Transfer Studies Certificate - Advanced* Transfer Studies Certificate - Basic* Welding/Fabrication - Mig & Tig Ct. Welding/Fabrication - Stick & Flux-cored CT. Welding/Metal Fabrication Technologies

Requested Information

Accommodations/Accessibility Services

Athletics

Cambridge Center

Dual Enrollment

Financial Aid & Scholarships

Online Offerings

Veteran Services

Would you like to request a campus tour?

YesNo