Online Application

Term/Academic Intent

Seeking Admission for Term: select Summer 2009 Fall 2009
What is your most likely course of study? select Accounting Appliance Technology Art Automotive Technology Baking/Pastry Biology Biotechnology Business Administration CAD and Drafting Technology Chemical Laboratory Technology Chemistry Child Development Computer Information Systems Cosmetology Culinary Criminal Justice Engineering Science English Fine Arts Foreign Languages History Humanities Journalism Management/Marketing Mathematics Middle School Math and Science Networking Systems and Technologies Nursing Occupational Skills Physics Pre-Dentistry Pre-Law Pre-Medicine Pre-Optometry Pre-Pharmacy Psychology Secondary Mathematics Secondary Science (Biology) Secondary Science (Physical Science) Social Science Teacher Preparation: Math and Science in Middle Schools Teaching - Elementary Teaching - Secondary Undeclared Web Development
What is your enrollment preference? select Full-Time Part-Time One Course Undecided
Required: Student Intent: Please select your intention Transfer to a 4-year college Improve present job skills Prepare for future job GED/Basic Skills/ESL Pursue personal interest Continuing Education Unknown Other
Required: How did you hear about us? select Attended another City College College Fair Community Organization Facebook.com Friend/Relative High School Counselor Internet Advertisement Live Nearby Mailer Newspaper Ad Open House Other Radio Search Engine Television Commercial

Personal Information

Required: First Name:
Required: Last Name:
Date of Birth: Month 01 02 03 04 05 06 07 08 09 10 11 12 Required Date of Birth: Day Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Required Year of Birth: Year 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929
Required: Gender: Select Male Female
Required: Address:
Address Line 2:
Required: City:
Required: State: State Illinois Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming None - Does Not Apply
Required Zip:
County:
Country of Birth:
Phone Alternate phone is a work or Cell number Work Work Cell Cell
Required Email:
Military Status: Please select your military status None Active Reserve Current Inactive Reserve Retired Veteran
Are you a disabled veteran? Yes No
Are you applying for financial aid? Yes No
Is English your native language? Yes No
If not, what is your native language?
What is your ethnic group? Please select your ethnicity White Black Hispanic Asian/Pacific Islander American Indian/Alaskan Native
Required Are you currently on a visa? (click "no" if you are a permanent resident) Yes No

Academic History

High School/GED Status: Select I completed a high school diploma I completed a GED certificate I do not have a GED or high school diploma I was home schooled
College Status: Select I have attended and/or graduated from college I have not attended college
Your highest degree previously earned: Select None GED High School Certificate Associate degree Bachelor's degree Master's degree Professional (i.e. Dental, Law, Medical) Doctoral degree Other Completed one or more college courses Unknown