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My Cell Phone Number
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Please provide us with your cell phone carrier.
Cell Carrier Description
What term are you applying for?
High School Graduation Year
NOTICE: Non-degree seeking students do not qualify for financial aid. Please be sure this is the correct admission type you wish to pursue before proceeding.
Which pathway best describes your career interests?
Do you know what program of study you would like to declare?
Click below to open a new window to view your free career inventory.
Choose a program type.
Choose a program.
Type in the blank below the program/major are you interested in studying once you transfer to a University.
Dual Credit
Entrance Year
Entrance Term
Term Start Date
Term End Date
Year Term Description
Program Code
Degree Code
Program Description
Concentration Code
Grad Year Description
Pathway Description
Institutional Division Description
First NamePlease do not include apostrophes in names.
Middle Name
Last Name
Suffix
Last Name at Birth
Preferred First Name
Gender
Birth Date
Under 21?
If you plan to apply for financial aid, you must submit your SSN with your application. Would you like to continue with your SSN below?
SSN
Race
Choose a tribal affiliation.
Ethnicity
Are you or your parent or legal guardian a member of the military?
Ethnicity Description
Legal Address(This address CANNOT be a PO box.)
Street
City
State
Zip
Country
County
Mailing Address(This address CAN be a PO box.)
Citizenship
Are you a legal citizen of the United States?
Citizen Of
If you have a VISA, what type is it?
Parent/Guardian Full Name
Parent/Guardian Cell Phone Number
High School State
Last High School
Other High School Name
High School City
Have you taken any college level courses or dual credit courses at any other college other than East Central? If so, you must include all of those colleges below.
College 1 State
College 1
College 2 State
College 2
College 3 State
College 3
College 4 State
College 4
Would you like to add more colleges?
College 1 Name
College 1 City
College 2 Name
College 2 City
High School Description
College 1 Description
College 2 Description
College 3 Description
College 4 Description
Check all that apply.
By typing your initials and date of birth below, you are agreeing that the information on this form is correct.
Initials
Date of Birth
Date Submitted
3/28/2023 6:36 PM