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Application For Admission

 

How To Become An SCC Student

  • Complete the Application
  • Send a copy of your final high school or GED transcript and any college transcripts to the Registrar's office.
  • Apply for financial aid by filing the FAFSA (Free Application for Federal Student Aid). The FAFSA helps determine your eligibility for Pell grants, SEOG, state grants, college work-study programs and student loans. Be sure to apply for SCC Foundation Scholarships. Over $230,000 of assistance are awarded every year. (Illinois students attending through the Carl Sandburg agreement should contact CSC regarding scholarship opportunities.)
  • Complete placement testing or provide ACT scores that have been taken within the last two years.
  • Complete an orientation session before the start of your first semester. (You will receive information in the mail from our enrollment staff after you submit your Application for Admission.) Orientation will help you better understand college policies, guidelines, degree requirements and course scheduling to help you get started here at SCC.
  • After your orientation and placement requirements are completed, you can register via your HawkNet or make an appointment to visit with an enrollment specialist to discuss your academic plan.

 

* denotes optional information.

First Name:

Middle Name: If no legal middle name, please enter 'x'

Last Name:

Social Security Number:

* E-mail Address:

* Maiden Name:

* Other Last Name:

Birth Date: in MMDDYYYY format

* Gender: Male   Female

*Are you a United States citizen?   Yes   No
  If NO, are you a permanent resident of the United States?   Yes   No

* Ethnicity:

* Which race are you? (select one or more)
     American/Alaska Native
     Asian
     Black or African American
     Hawaiian/Pacific Islander
     White

Permanent Address

P.O. Box: if applicable

Full Street Address: if applicable

City:

State:

Zip Code:

Current Address - Enter only if different from permanent address

* P.O. Box:

* Full Street Address:

* City:

* State:

* Zip Code:

Phone Numbers

Phone Number: Please include your area code.

* Secondary Phone Number: Please include your area code.

Do you plan to seek a degree or diploma from any institution?
You must be seeking an SCC degree to receive financial aid

Do either of your parents/guardians have a four-year degree?:

Semester you plan to enter SCC:

Campus You Plan To Attend: West Burlington   Keokuk

Program You Plan To Enter:

Educational Goals:

Services For Students

For more information on any of these services, please check below.

  Housing at Burlington or Keokuk

  Services for students with disabilities

  Assistance for students that use English as their second language


Enter the name of the high school or GED testing center that you have (or will be) graduated from.

Please have a copy of your high school transcript or GED scores sent to the SCC Registrar's office.

Graduation Type:

High School/GED Graduation Year (or anticipated):

High School/GED City:

High School/GED State:

Institution Name:

    --OR--

Enter Institution Name:
 (if not listed above)


List all colleges and universities, including Southeastern Community College, that you have previously attended.

Please have a copy of your college and/or university transcripts sent to the SCC Registrar's office.

Institution Name:

    --OR--

Enter Institution Name:
 (if not listed above)

City:

State:

Start Year:

End Year:

Degree Earned:


Institution Name:

    --OR--

Enter Institution Name:
 (if not listed above)

City:

State:

Start Year:

End Year:

Degree Earned:


Institution Name:

    --OR--

Enter Institution Name:
 (if not listed above)

City:

State:

Start Year:

End Year:

Degree Earned:


An official Transcript from each institution attended must be submitted directly to the SCC Enrollment Office.

By clicking "Submit Application", I certify that, to the best of my knowledge, the above information is true and complete. I also agree to abide by all approved policies as outlined in the current issue of the college catalog. I will report all changes, including name and address, to the SCC Enrollment Office. I understand that my admission may be delayed if all changes are not reported. I give my permission to allow SCC to communicate with me by electronic means to inform me of college updates, alerts, and other college-related news. I also understand that I may be photographed at various college events and activities held in public areas throughout the college and that such a photograph may be used in college publications, websites and other marketing materials. In giving this consent, I release Southeastern Community College, their agents, and assigns from any liability for any violation of personal property rights which I might have in connection with such materials and waive any right to approve accompanying written or narrative material.

Clery Act. Southeastern Community College is committed to providing the safest environment possible for work and study. Part of this commitment involves providing information about campus security to current and prospective students as well as employees. A report, prepared in compliance with the Crime Awareness and Campus Security Act of 1990 (Clery Act), outlines the college's security policies and discloses campus crime statistics. For a copy of this document, contact: Student Services, Southeastern Community College, P.O. Box 180, 1500 West Agency Road, West Burlington, IA 52655-0180. Southeastern Community College provides equal educational and employment opportunities and does not illegally discriminate on the basis of gender, race, national origin, age, marital status, or disability in its educational programs, activities, or employment and personnel practices.

Mail supporting documentation to Enrollment Services Office at the campus you plan to attend.

SCC West Burlington CampusSCC Keokuk Campus
Enrollment Services OfficeEnrollment Services Office
P.O. Box 180P.O. Box 6007
1500 West Agency Road339 Messenger Road
West Burlington, IA 52655-0180Keokuk, IA 52632-6007

 

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