Gerontology Program Application

Please contact the Gerontology program if you have any questions:

Email: ger@pcc.edu
Phone: 971-722-8254

Contact Information: Your name: Phone: Email Address: PCC Email: Mailing address: City: State: Zip code:

Education: Previous College(s): Please list the names of all the colleges that you have attended Currently enrolled at:

Have you taken credit courses at PCC? No Yes

Have you taken GR181 Never taken / not enrolled Currently enrolled Completed in:

Area of interest:

Additional Experience: Please list your work, or volunteer experience related to gerontology:

By submitting this application, your name will be added to the MyPCC Gerontology group. To access the group homepage, login to MyPCC and click on Groups in the upper right hand corner.