Virtual College of Texas

Please fill out this form completely. If you do not fill it out completely, your request will be delayed.

Virtual College of Texas Request Form
This request is for semester:
Summer I
Summer II
First Name ( *):
Last Name ( *):
Blinn ID Number:
Email Address ( *):
Phone Number ( *):
Street Address ( *):
City ( *):
State ( *):
Zip Code ( *):
Previous Distance Learning Experience:
Note: If you are not a current Blinn student, you will need to become one before I can process your request.
Are you a current Blinn Student, meaning you have attended Blinn College during the current or previous semester?
Yes          No          In Progress
Are you graduating this semester?
Yes          No
Where are you graduating from?
Course Requested
( Example: PHIL 2306, not the title of the course):
Have you looked at the VCT web site for availability?
Yes          No
Please list your preferred college:
With regard to your preferred college, we will do our best to accommodate your request. However, in some cases, another college will be picked due to fees or previous experience


Contact Information:
Bryan: Building R
Room 102, 104

Normal Hours
Mon- Thu: 8am - 11pm
Friday: 8am - 5pm
Saturday: Closed
Sunday: 2pm - 10pm

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