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HCC Enrollment Request
Are you a new student with less than 12 credit hours?
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Yes
No
Are you going to be playing football for HCC, or plan on attending Summer Blitz?
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Yes
No
Student First Name
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Student Last Name
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Current Address
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City
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State/Province
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Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
Zip/Postal Code
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Date of Birth
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+
Student Phone
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Student Email Address
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Parent or Guardian Name
Parent or Guardian Email Address
Academic Information
Academic Interest (choose an answer closest to what you are interested in studying)
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*ACADEMIC AREAS*
Accounting & Business
Agriculture
Art
Biology
Criminal Justice
Education
English
Graphic Design
History
Human Services
Mathematics
Music
Nursing
Personal Fitness Trainer
Psychology
Sociology
Speech Communications
Theatre
*TECHNICAL PROGRAMS*
Allied Health
Automotive Collision
Automotive Technology
Computer Support Specialist
Construction Technology
Diesel Technology
Early Childhood
Electrical Technology
Engineering Computer Graphics & Technology
Enology
HVAC
LPN to RN
Medical Coding
Medical Assistant
Practical Nursing
Precision Agriculture
Viticulture
Welding Technology
Have you taken the ACT/SAT exams? (not required for admissions, but helpful for placement)
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Yes
No
Would you like to take a free placement exam for math and/or English?
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Yes
No
I plan to attend classes:
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HCC Main Campus
Online
Technical Center in Atchison
Atchison Center
Western Center
Wamego Center
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