HCCC Admissions Form

Legal First Name

Legal Last Name

Email address

Confirm Email Address

Mobile Number

Phone

Street Address

City

State

Zip Code

County

Date of Birth

mm/dd/yyyy

SSN

Do you consider yourself Hispanic/Latino

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Semester Applying For

Academic Program

What are you planning for your area of study? http://www.hccc.edu/programscertificates

If you choose Visiting student, please choose Non-Matriculation as an Academic Program.

If you plan to take college-level courses while still in high school, please choose "High School - Non Degree" as an Academic Program.

I will be entering as a…(choose one)

If you plan to take college-level courses while still in high school, please be sure to select "Early College" as your application type.

High School

Are you an international student applying on an F1 visa or questioning a SEVIS I-20?

Are you a U.S. citizen?

Certification

I certify to the best of my knowledge that the information is correct and that falsification of information may subject me to dismissal from HCCC. Also, if I am applying for a matriculated program, it is my responsibility to have an official copy of my high school transcript or GED certificate and college transcript(s), if required, sent to the Office of Enrollment Services.

Do you certify the statement above?

Please affirm before you submit your application.

Send me a copy of my responses

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