Southeastern Community College


Application For Admission

 

Steps To Become A Student

Please complete this application from a desktop or laptop; enable pop-ups.

  • Complete the Application for Admission form below.
  • Complete the Free Application for Student Aid (FAFSA)
    Note: The SCC school code for the FAFSA is 004603
    Apply for Scholarships: Fill out one application for 400 scholarships!
  • Complete the new student online orientation from a computer.
  • Complete the placement requirements. Every student must complete the ALEKS (math) and the Writeplacer module (writing sample) in Next Generation Accuplacer. We'll also need placement scores for English and reading. Students may complete the Next Generation Accuplacer English and reading modules or submit ACT or SAT scores in English and reading. The Next Generation Accuplacer and ALEKS are given free of charge. View our testing calendar, then schedule your appointment.
  • Submit an official final high school transcript or high school equivalency score and official copy of any college transcripts to the to the Registrar's office.
  • After your orientation and placement requirements are completed, make an appointment to visit with an enrollment specialist to discuss your academic plan. You can register at that time or via your student portal (HawkNet) thru WebAdvisor.

 

* denotes optional information.

First Name:

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

Last Name:

Social Security Number:

* E-mail Address:

* Confirm E-Mail Address:

* Other/Prior Last Name:

* Other/Prior Last Name 2:

* Other/Prior Last Name 3:

* Other/Prior Last Name 4:

Birth Date: in MMDDYYYY format

Ethnicity and gender information requested is used only to comply with federal reporting and has no effect on admission to the college or for any discriminatory purposes.

* Gender Identity:

* Personal Pronoun:

* Ethnicity:

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

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

NOTE - Programs may contain the following designations in the description: * = Keokuk Campus offers Selected Courses, K = Keokuk Campus, KE = Keokuk Evening, OL = Online, WB = West Burlington Campus, WBE = West Burlington Evening

Program You Plan To Enter:

Educational Goals:

For requests for accommodations, please contact the Disability Services office at 319-208-5167 or visit our Disability Services page.

  I would like more information about On-Campus Student Housing


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

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

Graduation Type:

High School/Ged/HiSet Graduation Year (or anticipated):

High School/GED/HiSet City:

High School/GED/HiSet 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.

It is the policy of Southeastern Community College not to discriminate on the basis of race, color, national origin, sex, disability, age, sexual orientation, gender identity, creed, religion, and actual or potential parental, family or marital status in its programs, activities, or employment practices as required by the Iowa Code 216.6 and 216.9, Titles VI and VII of the Civil Rights Act of 1964 (42 U.S.C. 2000d and 2000e), the Equal Pay Act of 1973 (29 U.S.C. 206, et seq.), Title IX (Educational Amendments, 20 U.S.C. 1681 - 1688), Section 504 (Rehabilitation Act of 1973, 29 U.S.C. 794), and Title II of the Americans with Disabilities Act (42 U.S.C. 12101, et seq.).

Individuals having questions or complaints related to compliance with this policy should contact Tina Young, tyoung@scciowa.edu, Title IX / Equity Coordinator, Southeastern Community College, 1500 W. Agency Road, West Burlington, IA 52655, phone number 319/208-5101, fax 319/208-5005 or the Director of the Office for Civil Rights, U.S. Department of Education, Citigroup Center, 500 W. Madison, Suite 1475, Chicago, IL 60661, phone number 312/730-1560, fax 312/730-1576.

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 180 
1500 West Agency Road339 Messenger Road
West Burlington, IA 52655-0180Keokuk, IA 52632-6007

 

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