Admission Application

Personal Email Address
Please use your own personal email address.

Confirm Personal Email Address

My Cell Phone Number

When are you planning to attend ECCC?

High School Graduation Year

Choose one.

NOTICE: Non-degree seeking students do not qualify for financial aid.
Please be sure to choose the correct type above before proceeding.

Do you currently know what program of study you would like to declare? 

Choose a program type.

Choose a program.

Choose a concentration.

If your planned concentration/major/program of study is not listed above, please provide below.

Click below to open a new window to view your free career inventory.

First Name
Please leave out apostrophes in names. Please use Mixed Case when typing your name.

Middle Name

Last Name

Suffix

Last Name at Birth

Preferred FIRST Name
You may leave this field blank if you prefer to be called by your first name.

Gender
Please choose your gender at birth.

Date of Birth
MM/DD/YYYY

Will you be 21 before you begin taking college courses?

 SSN

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 Ethnicity

 Race

 Are you a legal citizen of the United States?

Citizen Of

Visa

Tribal Affiliation

Are you or your parent or legal guardian a member of the military? 

Legal Address

Legal Zip

Legal Address State

Legal Address City

Mailing Address

Mailing Zip

Mailing Address State

Mailing Address City

County

Country

Parent/Guardian Full Name

Parent/Guardian Cell Phone

Parent/Guardian Address

Zip

State

City

High School State

Last High School

High School City

Other High School Name

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

College 1 State 

College 2

College 2 State 

College 3

College 3 State 

College 4

College 4 State 

Would you like to add more colleges or colleges not listed? 

College 1 Name

College 1 City

College 1 State

College 2 Name

College 2 City

College 2 State

College 3 Name

College 3 City

College 3 State

Check all that apply.

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Check the box next to any organization, activity, or sport that interests you.

By typing your initials and date of birth below, you are agreeing that the information on this form is correct.

Initials

Date of Birth
(MM/DD/YYYY)

By checking this box, you agree to receive text messages and emails from East Central regarding emergency alerts, grades, billing statements, and other information related to your account. Notifications will be sent to the cell phone listed on this application and emails will be sent to the personal email address listed on this application.