Application For Admission - Lamar Community College

Download a blank fillable Application For Admission - Lamar Community College in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Application For Admission - Lamar Community College with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Lamar Community College
2401 South Main
Application for Admission
Lamar, CO 81052
Phone: 719.336.1590 or 800.968.6920
Please indicate the year and term you wish to enroll:
Fax: 719.336.2400
20_____
Summer _____
Fall _____
Spring _____
Social Security Number:* _________________________ SASID (Your CO High School ID Number): _____________________________
*Your SSN is not required but is used to match past/future records, and is required for education tax credits, and some financial aid.
Last Name: ___________________________________ First Name: ____________________________ Middle Name: ______________________
Previous Name (if applicable): _______________________________________________
Birth date: __________________________(MM/DD/YY)
Local/Mailing Address
Street: ________________________________________________________________________________ City: ___________________________
County: ________________________
State: ________________
Zip: ___________ Country: __________________________ (if not U.S.)
Preferred Phone Number: _________________________
Personal email address: ___________________________________________________
Permanent Address (If different from Local/Mailing Address)
Street: ________________________________________________________________________________ City: ___________________________
County: ________________________
State: ___________
Zip: ___________ Country: ____________ (if not U.S.)
Gender
Veteran/Military Service
Current Employment Status
While at this College do you intend to:
_____ None
_____ Earn an AA, AS, or AGS degree
_____ Male
_____ Veteran or Dependent
_____ Full-time (30+ hrs/week)
_____ Earn a technical degree (AAS)
_____ Female
_____ Active Duty Veteran
_____ Part-time (1-29 hrs/week)
_____ Earn a certificate
_____ Active Duty Military
_____ Not employed
_____ Take a few courses for transfer to another college
Branch of Service:
_____ Take a few courses for job or career reasons
_____ Attend for personal interest
_____________________
_____ None of the above
Do you consider yourself economically disadvantaged?
Yes _____ No _____
What best describes your current status?
Is English your second language?
Yes _____ No _____
New student, no college or university experience _____
Do you consider yourself a displaced homemaker?
Yes_____ No _____
Transfer student, some college or university experience _____
Do you consider yourself a single parent?
Yes _____ No _____
Readmit, I am returning to this college _____
Are you a first generation college student?
Yes _____ No _____
If no, which of your parents attended college?
Mother _____
Father _____
WHAT IS YOUR INTENDED PROGRAM OF STUDY?
If you are unsure of your program choice, choose Associate of Arts
or Associate of Science if you ARE planning to transfer, or an
Associate of General Studies or Associate of Applied Science if you
____________________________________________________
are NOT planning to transfer.
Which best describes the level of education you have
High School/GED Information
Selective Service Statement
completed?
Colorado state law requires that
_____ Less than high school
High School Name: __________________________________
all males who are at least 17
_____ High school graduate
City: ____________________
years & 9 months of age but
_____ Earned a GED
Currently enrolled in high school? Yes _____ No _____
younger than 26 years answer
the following question.
_____ Certificate
If yes, expected graduation date:
____________
_____ Associates degree (AA, AS, AGS, AAS)
If no, graduation date if applicable: ____________
Are you registered with the
_____ Bachelors degree
Selective Service?
_____ Masters degree
GED completed? Yes _____
No _____
Yes _____
No _____
_____ Doctorate (Ed.D., Ph.D.)
If, yes date?
_____________
_____ Professional degree (MD., JD, MBA)
State completed: _____________
You can register for selective
service at
Most Recent Prior College (If applicable)
Name of College:________________________________________________________________________________
City: _________________________
State: _________
Years of Attendance: ____________________________
Ethnicity (for federal reporting)
Race (select one or more)
Citizenship
_____ Hispanic or Latino
_____ American Indian or Alaskan Native
U.S Citizen _____
Non U.S. Citizen _____
_____ Not Hispanic or Latino
_____ Asian
Country of Origin ____________________
_____ Black or African American
Visa Type: ___________________________
_____ Native Hawaiian or Pacific Islander
Visa Expiration Date: ______-______-______ (MM-DD-YY)
_____ White

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 2