Shawnee Community College Student Services

If you are using a forms-capable web browser, you may fill out the following admission information form for Shawnee Community College. Forms must be filled out completely. Or if you prefer, you may follow this link to print an admission information form and send it to S.C.C through the U.S. Mail.

If you have questions, please direct them to: admissions@shawneecc.edu
Or phone (618) 634-3247 to speak with an admissions advisor.

* Indicates a required field.

Personal Information

* Social Security Number:

* First Name: Middle Initial: .
* Last Name:

Maiden Name:

* Address:

* City:

* State:

* County:

* Zip Code:

* Phone:

* e-mail:
Note:If you do not have a valid e-mail address, you cannot complete the admissions process online. To get an e-mail address contact your local Internet Service Provider (ISP), or sign up for a free Yahoo e-mail account by clickling here.

* Birth Date: (MM/DD/YY)

* Marital Status:
* Gender:

* Employment Status:

Ethnic Background

* Are you Hispanic or Latino?

* Are you in the U.S. on a visa - or a non-resident alien?

* Country of Origin:

* Are you from one or more of the following groups (select two if applicable):

* Please identify your primary racial/ethnic group (select one):

Emergency Contact

Please fill out the following information about the person you would like us to contact in the event of an emergency.

* Name:

* Phone:

High School Information

* Name of last high school attended:
* State of Last High School Attended:
* Year of high school graduation:
* Are you still attending High School?
GED date:

Enrollment Information

* Applying for enrollment in the:
semester.
* My enrollment intention at SCC is:

* Degree (enter a subject area):

* What is the Highest Degree You Have Earned:

* Do either of your parents hold a Bachelor's Degree?

* Are You a Foreign Student?

Application Procedures: All students who wish to register at Shawnee Community College must submit the following information.

Official transcripts from the high schools attended.
Official transcripts from other colleges or universities attended.
An assessment test is required for all new full-time freshman. Students who do not take the test in high school must contact the Admissions Office for test date on campus.
A 21 on the Enhanced ACT exempts assessment requirement.
All AA & AS students are subject to the 1993 Admission Standards.

RESIDENCY STATEMENT:

I certify that all the information that I have provided on this application is complete and accurate to the best of my knowledge, and I agree to observe all of the rules and regulations of the institution at which I am enrolled.

VERIFICATION OF INFORMATION:

I understand that withholding information requested on this application or giving false information may make me ineligible for admission to the college or subject to dismissal. With this in mind, I certify that the above statements are correct and complete.

* * Name:

* Date: (MM/DD/YY)

* Please Note: This process does not check for spelling or accuracy of the information you enter. It is your responsibility to insure that the information is correct. A typing error in your e-mail address and/or phone number could cause a communication breakdown, leaving our student advisors with no means to contact you and complete your registration request. Please double check that your e-mail address and phone number are correct before proceeding.

For More Information Contact:
Dee Blakely - Director of Admissions and Advising
at 1-800-481-2242 or (618) 634-3247 or e-mail deeb@shawneecc.edu

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