KLAMATH Community College

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This application will take approximately 15 minutes to complete. You will need your email address and phone number.

I want to:

Apply for a degree or certificateApply for a CCAF General Education Mobile -or- Base to Bachelor’s degreeRegister for non-credit community education or workforce/job training courses

Wanting to take college-level coursework at KCC while attending High School? Complete the Dual Credit Application.

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App Type

Credit

Military

Commmunity Ed

KCET

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About You

Names & Demographics

First Name

Middle Name

Last Name

Previous Last Name

Preferred name

Sex at Birth

Marital Status

Birthdate

Social Security Number

Military Status

Are you United States Veteran?

YesNo

Are you on Active Duty in the US Military?

YesNo

Ethnicity & Race

To comply with federal statistical reporting requirements, Klamath Community College must seek to identify the racial and ethnic background of applicants. You are encouraged to to supply this information, but your application will be given the same consideration whether or not you do so.

Ethnicity

Race (Choose one or more)

Contact Information

Address

Country

Street

City

State or Territory

State/Territory

Zip/Postal Code

County

Are you a legal resident of OR, CA, WA, ID, or NV?

For Military personnel, base this on your home of record

Phone & Email

Mobile Phone Number

10 digits. NO Country code, spaces, or special characters.

Secondary Phone Number

10 digits. NO Country code, spaces, or special characters.

Personal Email Address

example: johndoe@gmail.com, or johndoe@yahoo.com

Confirm Email Address

Email
Confirmation OK

Email
Confirmation Error

Candidacy

When do you plan to start?

When do you plan to Start?

Choose a program

Select your area of interest

Which best describes you?

Campus

Which base are you stationed at?

Military Status

How did you find out about KCC?

Hidden fields

Academic Start Term Id

Community Start Term Id

KCET Start Term Id

Credit Program Id

Military Program Id

KCET Program Id

WF/CE Program Id

CreditCandidacy

CE/WF Applicant Type

Military Applicant Type

KCET Applicant Type

WF/CE Attendance Status

Educational Background

High School/GED Information

I have completed / will complete

High SchoolGEDNone

Please select your high school

High School Id

My High School is not listed

High School Name

High School City

High School State/Territory

Have you ever had an IEP or 504 Plan?

Graduation Date

GED Test Date

College/University

Have you previously attended any other College/universities (including Dual Credit)?

YesNone

Please select your College/University

College/University Id

My College/University is not listed

College/University Name

College/University City

College/University State/Territory

Degree earned

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Bill's Contacts

Bill Tyler

President

123 Main

123-321-3211

billw17@gmail.com

Mary Tester

Vice President

3456 Maple St

321-312-3333

mary@test.edu

White	Native Hawaiian or Other Pacific Islander
Black or African American	Asian
American Indian or Alaska Native

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