HCC Enrollment Request

Are you a new student with less than 12 credit hours? *

Yes

No

Student First Name *

Student Last Name *

Current Address *

City *

State/Province *

Zip/Postal Code *

Date of Birth * +

Student Phone *

Student Email Address *

Parent or Guardian Name

Parent or Guardian Email Address

Academic Information

Academic Interest (choose an answer closest to what you are interested in studying) *

Have you taken the ACT/SAT exams? (not required for admissions, but helpful for placement) *

Yes

No

Would you like to take a free placement exam for math and/or English? *

Yes

No

I plan to attend classes: *