Application for Admission


ALL FIELDS MARKED WITH A RED ASTERISK ARE REQUIRED.

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CURRENT MAILING ADDRESS**


PERMANENT ADDRESS IF DIFFERENT THAN ABOVE (MAY NOT UTILIZE A PO BOX)

If you are not a U.S. citizen you must complete the following section

RACE/ETHNICITY Per US Dept of Education guidelines, colleges are required to collect the following racial and ethnic data.
INDICATE THE EDUCATION LEVELS OF THE PARENTS AND-OR GUARDIANS WHO RAISED YOU

CALIFORNIA HIGH SCHOOL ATTENDANCE
As of the first day of the semester you are applying for:
HIGH SCHOOL**




CALIFORNIA RESIDENCY STATUS
U.S. Military or dependent of military status

In the last year have you...





SPORTS/ATHLETICS
PROPOSED MAJOR

IF YOU ARE 18 YEARS OF AGE OR OLDER, YOU MAY SKIP TO THE NONDISCRIMINATION STATEMENT.
IF YOU ARE UNDER THE AGE OF 18, ANSWER THE FOLLOWING QUESTIONS
INDICATE THE CURRENT MILITARY STATUSES OF THE PARENTS AND-OR GUARDIANS WHO RAISED YOU
NONDISCRIMINATION STATEMENT
The Allan Hancock Joint Community College District is committed to the active promotion of diversity and equal access to all staff, students and applicants, including qualified members of underrepresented/protected groups. The college assures that no person shall be discriminated against regardless of race, color, ancestry, religion, gender, national origin, age, physical/mental disability, medical condition, status as a Vietnam era veteran, marital status, or sexual orientation.

Before submitting, please VERIFY that the information you have provided is complete and correct. NO CHANGES may be made once the application is submitted.

California state law allows you to submit your application and residency information electronically without a manual signature. Your completion of this page will provide the necessary verification for electronic submission. The security and privacy of the information in your submitted application are protected as described in the District Privacy Policy.


*All of the information in this application pertains to me.
*I understand that falsification, withholding pertinent data, or failure to report changes in residency may result in District action.
*Under the penalty of perjury, the statements and information submitted in this online admissions application are true and correct.

Select the Submit button once. If you do not see the Thank you message, scroll to the top to see the error message.

 

 

 

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Last Modified Dec 8, 2015