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Tell us about yourself

Individuals may opt to go by a chosen name that is different from their legal first and last name.
Once you have received your student ID number, the Chosen Name form on the college website can be completed.

Legal First Name

Legal Middle Name or First Initial

Legal Last Name

Birth Date

Enter your birthdate in a mm/dd/yyyy format.
Make sure Year of Birth is correct.

Email Address

Confirm Email Address

Which is your primary phone type?

Cell Phone

Home Phone

Street Address - include apartment or lot number

PO Box

City

State/Province

ZIP/Postal Code

Country

Citizenship Status

INTERNATIONAL APPLICANTS choose Alien

Area of Interest

Academic Program

Entry Term