Full Name:

Student ID:

Address:

Email:

Phone:

By submitting your cell phone number, you agree to receive text messages from SCC Admissions, Advising and Registration, up to approximately 6 messages/month. Message & data rates may apply. You can opt out at any time by texting Stop. All information is protected by SCC's Website Privacy Statement.

Program of Study:

Speech Instructor (If currently in a speech class):

Topic of your informational speech:

Outline (Type or Paste):