ADMISSIONS APPLICATION
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1 Castal Carlina Cmmunity Cllege ADMISSIONS APPLICATION Admissins Office 444 Western Bulevard Jacksnville, Nrth Carlina (910) Mnday Thursday, 8:00 a.m. - 7:30 p.m. Friday, 8:00 a.m. 5:00 p.m. Admissins Checklist COMPLETE A RESIDENCY DETERMINATION REQUEST All applicants (except Career and Cllege Prmise applicants) must cmplete a Residency Determinatin request t determine their tuitin status (in state r ut f state) prir t Admissin. Cmplete yur Residency Determinatin Request nline at: APPLY FOR ADMISSION The applicatin fr admissin begins the prcess. Applicatins can be btained by visiting the Admissins Office r at TAKE ANY REQUIRED PLACEMENT TEST Students may take the entire placement test nly twice within a 12 mnth perid. Nte: Placement test scres are valid fr 60 cnsecutive mnths frm the mnth administered. REQUEST OFFICIAL TRANSCRIPTS Make arrangements fr fficial high schl transcripts shwing prf f graduatin r High Schl Equivalency scres, which qualify as a high schl equivalency certificate within the fifty states, t be sent t the Admissins Office. If yu previusly attended a cllege, university, r technical schl Castal requires that yu submit fficial transcripts frm thse educatinal institutins. MEET WITH AN ACADEMIC COUNSELOR TO BE OFFICIALLY ADMITTED All prspective students are required t meet with a cunselr as the final step f the applicatin prcess. The cunselr will help yu chse a curriculum and discuss registratin ptins. APPLY FOR FINANCIAL AID The Cllege prvides a number f financial assistance prgrams, ensuring educatinal pprtunities fr individual students. Grants, schlarships, and emplyment pprtunities are included in such prgrams. Start yur prcess by ging t After cmpletin, yu will receive next steps frm Castal s Financial Aid Office befre eligibility can be determined. Rev. 9/2017 page 1
2 Applicatin Prcess 1. Cmplete a Residency Determinatin Request All applicants (except Career and Cllege Prmise applicants) must cmplete a Residency Determinatin request t determine their tuitin status (in state r ut f state) prir t Admissin. Dcumentatin may be required during this prcess. View the Helpful Hints Guide fr Residency Classificatin n ur web site t see what dcuments may be needed ( Residency-Classificatin.pdf). Please have these dcuments n hand prir t starting yur Residency Determinatin Applicatin. Yu can cmplete yur Residency Determinatin Request at: 2. Cmplete the Applicatin fr Admissin Cmplete all the requested infrmatin, sign, and return the applicatin t the Admissins Office in the Student Center. Yu may mail it, submit it in persn, r cmplete the applicatin n line. N applicatin fee is required. 3. Determine English and Mathematics Placement Requirements Assessment f all applicant s cmpetencies in English and mathematics is required fr placement int cllege level curses. Students may nt need placement if they are frmer Castal students; have taken the SAT/ACT within five years; meet multiple measures fr placement; have transfer credit in English r mathematics; r have recently taken a placement test at anther cmmunity cllege. Applicants wh meet any f the abve criteria shuld cme in t visit us at the Student Center t speak with an Academic Cunselr. Fr applicants wh are required t take placement tests, the Cllege prvides this service n a regular basis at n cst. Perfrmance n placement tests in reading, writing, and mathematics determines initial placement int cllege level mathematics and English. Infrmatin abut placement testing, including a study guide in reading/writing and mathematics, is available in the Admissins Office. 4. Submit Transcripts Submissin f fficial High Schl r High Schl Equivalency transcripts is mandatry fr admissin t a prgram. Students may be accepted under a prvisinal status and allwed t register fr classes in cases where fficial transcripts will arrive after the semester begins. Only fficial transcripts in sealed envelpes r that are ed directly t Castal are accepted. High Schl Students Applicants need t prvide an fficial cpy f their final high schl transcripts (shwing date f graduatin) t Castal Carlina Cmmunity Cllege Admissins Office. Cntact yur high schl if yu d nt have an fficial cpy t prvide. Students still in high schl shuld make this request upn graduatin. Request Onslw Cunty high schl transcripts at AHS r HSE Diplma Recipients Students wh have earned an Adult High Schl (AHS) r High Schl Equivalency (HSE) Diplma must submit an fficial cpy f their AHS/ HSE transcripts. Request AHS/HSE transcripts at Request HiSet transcripts at Cllege Transfers In additin t submitting an fficial high schl transcript, students transferring int Castal Carlina Cmmunity Cllege shuld cntact all previusly attended clleges/universities/technical schls and request that fficial transcripts be frwarded directly t the Admissins Office. Yu can cntact the Registrar s Office f yur previus institutins t submit transcript requests. Official Transcripts frm Cllege Bard shwing Cllege Level Examinatin Prgram (CLEP) and Advanced Placement (AP) scres shuld als be sent if applicable. Request CLEP scres at Request AP scres at Electrnic Transcripts must be submitted t: etranscripts@castalcarlina.edu Printed Transcripts can be sent t: Castal Carlina Cmmunity Cllege Admissins Office 444 Western Bulevard Jacksnville, NC (910) T check n the status f yur transcripts yu can call: (910) Meet with an Academic Cunselr t be Officially Admitted Visit the Admissins Office and meet with an Academic Cunselr t be either prvisinally r fully admitted. The cunselr will assist in planning a prgram f study and help with class registratin. page 2
3 Castal Carlina Cmmunity Cllege Prgrams f Study Castal Carlina Cmmunity Cllege awards assciate degrees in arts, science, engineering, art, theatre, and music fr students wh plan t transfer t a fur-year cllege r university after cmpleting a full tw-year prgram f study. Assciate degrees in applied science are fr students wh plan t enter the wrkfrce upn graduatin. Castal ffers the fllwing prgrams f study: Cllege t University Prgrams Lead t the cmpletin f a fur year degree frm a Cllege r University Assciate in Arts Assciate in Science Assciate in Engineering Assciate in Fine Arts in Music Assciate in Fine Arts in Theatre Assciate in Fine Arts in Visual Arts Cllege t Career Prgrams Lead t the cmpletin f an Assciate in Applied Science Degree, Diplma, r Certificate Business Technlgy Accunting Business Administratin Entrepreneurship Financial Services Medical Office Administratin Office Administratin Paralegal Technlgy Cnstructin Technlgy Air Cnditining, Heating & Refrigeratin Technlgy * Electrical Systems Technlgy * Engineering Technlgy Architectural Technlgy * Electrnics Engineering Technlgy * Health Sciences Dental Sciences: Dental Assisting * Dental Hygiene * Emergency Medical Science * Health and Fitness Science Medical Labratry Technlgy * Nursing: Assciate Degree (Registered Nurse) * Practical Nurse (Licensed Practical Nurse) * Surgical Technlgy * Industrial Technlgy Welding Technlgy * Public Service Technlgy Csmetlgy * Culinary Arts * Early Childhd Educatin Hspitality Management * Manicuring/Nail Technlgy * Transprtatin Systems Technlgy Autmtive Systems Technlgy * Cllisin Repair and Refinishing Technlgy * Diesel/Heavy Equipment Technlgy * Public Safety Technlgy Basic Law Enfrcement Training (must be 21 years ld) * Criminal Justice Technlgy Criminal Justice Technlgy- Frensic Science Emergency Management Fire Prtectin Technlgy Cmputer Technlgy Infrmatin Technlgy- Infrmatin Systems Infrmatin Technlgy- Cmputer Prgramming Infrmatin Technlgy- Netwrk Management Infrmatin Technlgy- Web Administratin & Design New degree and certificate prgrams are being added all the time. Visit us nline at fr an updated list f prgram fferings. *Limited enrllment prgrams have additinal admissin requirements and deadlines. page 3
4 Castal Carlina Cmmunity Cllege Applicatin Please print r type. Answer all questins. RCN# Castal Carlina Cmmunity Cllege uphlds all guidelines f the Equal Educatin Opprtunity and Equal Emplyment Opprtunity Plicy. New student applicatin Re-admissin applicatin Sectin I. Persnal Infrmatin 1) Name last first middle last name at birth (if different) (2) Scial security number Prviding yur Scial Security Number will enable Castal Carlina Cmmunity Cllege t uniquely identify yur recrds. Additinally, if yu are applying fr financial aid, yu are required by the federal gvernment t prvide yur Scial Security Number. Yur Scial Security Number is als needed t permit Castal Carlina Cmmunity Cllege t file certain tax infrmatin returns with the Internal Revenue Service and furnish a statement t yu abut yur tuitin. The infrmatin cntained n the statement will help t determine whether yu, r the persn wh can claim yu as a dependent, may take either the tuitin and fees deductin r claim and educatin credit t reduce federal incme tax. Yu can be assured that Castal Carlina Cmmunity Cllege has apprpriate measures in place t prtect the cnfidentiality f student s recrds and applicatin materials. (3) Lcal mailing address street city state zip (4) Hme telephne Cell Phne I give the Cllege permissin t send me text message ntificatins. (5) address (ptinal) (6) Gender female male (7) Date f birth (8) Emplyment status (chse ne) retired unemplyed - nt seeking emplyment unemplyed - seeking emplyment Hurs per week emplyed 1-10 emplyed emplyed emplyed 40 r mre (9) U.S. citizen yes n If n, cuntry f citizenship please cmplete #10 belw (10) Visa status permanent resident alien student visa ther visa visa expiratin date (11a.) Ethnicity Hispanic r Latin (11b.) Race (If Nn-Hispanic) (check all that apply) American Indian r Alaska Native Asian Black r African American Native Hawaiian r Other Pacific Islander White page 4
5 Sectin II. Academic Prgram/Date f Entrance Indicate belw the academic prgram t which yu wish t be admitted. Academic prgrams are listed n page 3. Please nte that there are applicatin deadlines fr sme academic prgrams. (12) Academic prgram f study (see page 3) (13) Entry term (chse ne) fall (August-December) spring (January-May) summer (May-August) calendar year 20 (14) Lng-term gals btain degree, diplma, certificate enhance jb skills fr current field f wrk enhance jb skills fr new line f wrk take curses t transfer take curses fr persnal interest Sectin III. Academic Histry (Final/fficial transcripts required) Give cmplete answers t ALL items. (15) Did yu, r will yu graduate frm high schl? Yes N (If n, please prceed t questin 19) (17) High schl public private hme schl name city cunty state/cuntry (18) Graduated mnth year Will Graduate mnth year (19) If yu did nt graduate frm high schl, did yu receive an Adult High Schl Diplma/High Schl Equivalency Diplma/GED? p Yes Date Issued mnth year (Please submit fficial transcripts) Cunty and State Where Issued (required) p High Schl Equivalency/GED p Adult High Schl p N (20) List all clleges yu have attended r are currently attending. Attach list n a separate sheet if necessary. Cllege/University City/State Attended Frm T Degree Received (21) Highest Degree Earned p Adult High Schl Diplma/High Schl Equivalency Diplma/GED p High Schl Diplma p Vcatinal Diplma p Assciate Degree p Bachelrs Degree p Masters Degree r Hihger Failure t furnish full infrmatin may jepardize academic prgram classificatin, eligibility fr graduatin, and/r financial aid awards/va benefits. page 5
6 Sectin VI. Active Duty Military and Active Duty Military Dependents Infrmatin This sectin shuld be cmpleted by all active duty military persnnel and all dependents f active duty persnnel regardless f legal residency. (26) Active duty military status Are yu currently active duty military? yes n (If yes, cmplete Part A nly) Are yu currently a dependent f active duty military persnnel statined in NC? yes n (If yes, cmplete Part B nly) Cmplete the sectin that is applicable. Give cmplete answers t ALL items. Part A - Active Duty Military (27) Anticipated active duty separatin date (required) State f residence as indicated n yur LES mm/dd/yy (28) Yur branch f service Air Frce Army Cast Guard Marine Crps Navy (29) Name and lcatin f yur unit Part B - Active Duty Military Dependents (30) What is yur relatinship t yur spnsr? spuse child ther (specify) (31) D yu live with yur spnsr? yes n (32) Yur spnsr s name last first middle last name at birth (33) Yur spnsr s anticipated active duty separatin date (required) State f residence as indicated n yur spnsr s LES mm/dd/yy (34) Yur spnsr s branch f service Air Frce Army Cast Guard Marine Crps Navy (35) Name and lcatin f unit page 6
7 Sectin VII. In Case f Emergency (all applicants must cmplete) (36) Persn t cntact Name Relatinship t the applicant (37) Address (38) Telephne Castal reserves the right t ffer transprt t the nearest medical facility in the event f an emergency. Sectin VIII. Criminal Recrd (39) Have yu been cnvicted f a felny r misdemeanr? If yes, please explain. yes n Sectin IX. Selective Service Registratin (40) If yu are a male and are required t register with Selective Service, have yu dne s? yes n Sectin X. Request fr Accmmdatins Castal attempts t cmply with sectin 504 f the Rehabilitatin Act f 1973 and the Americans with Disabilities Act. If yu have a disability and wish t request an accmmdatin, cntact the Admissins Office and ask fr the ADA Crdinatr. If an accmmdatin is nt requested in advance, s as t prvide the cllege sufficient and adequate time t meet yur needs, we cannt guarantee the availability f a reasnable accmmdatin when yu need it. This frm is an applicatin fr admissin, nt a guarantee f admissin. I certify that all the infrmatin given n this applicatin is crrect t the best f my knwledge, pursuant t reasnable inquiry where needed, and I am aware that any knwing falsificatin herein may result in disciplinary actin including denial f admissin r dismissal after admissin. Castal reserves the right t require dcumentatin f infrmatin cntained n, r changes made t, this applicatin. (41) Signature f applicant (42) Date (43) Signature f parent r guardian (if applicant is under 18) (44) Date page 7
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