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High School Admissions Application

If you need assistance with this form, please contact the MCC staff member at your local high school.

All yellow fields are required

Name

Please use your full and legal first and last names








General Information


MM/DD/YYYY format


If you do not have a social security number enter all zeros.

Ethnicity/Race

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, newspapers, and our own college/university communities, to describe the racial/ethnic backgrounds of our students and employees. In order to respond to these requests, we ask you to answer the following question(s)


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

Contact Information



IMPORTANT: Enter your e-mail address to receive important information about Mohave Community College. Once enrolled this will authorize MCC to send information such as registration information, academic performance, financial aid, disbursement eligibility, billing statements, charges, and past due amounts to this e-mail account.

Please be sure to include area code
OR

(At least one phone number is required)
Please be sure to include area code


Please be sure to include area code

Mailing Address








Enrollment Information







Citizenship

Student must be prepared to provide evidence of citizenship, permanent residency or other lawful immigration status.

Residency Status

To be considered an Arizona resident for tuition purposes, you must have resided in the state continuously for at least 12 months prior to submitting this admission application.

High School Information



Student Support Documentation

In order to determine your appropriate tuition rate, MCC asks for you to upload a government-issued photo ID and Social Security Card. All students are initially defaulted to our Out-of-State tuition rate until documentation has been submitted and reviewed.
If you are unable to provide the necessary documents now, you will receive an email from Enrollment Services directing you to scan required documents into the MCC secure site. Required documents may include any of the following: Social Security card, Driver's License, Permanent Resident Card, Visa, Foreign Passport. All applicants are considered out-of-state students until Residency and Citizenship documents have been reviewed by Enrollment Services. Once documents have been reviewed, your tuition status will be determined.

For questions regarding acceptable documents, please email enrollmentservices@mohave.edu.

Acknowledgment

By submitting this form, I hereby certify that, to the best of my knowledge, the information furnished is true and complete without intention of evasion or misrepresentation. I understand the above information submitted is under penalty of perjury, and false or misrepresentative data is sufficient cause for rejection of this admission form.
By submitting this application, I agree to abide by the student rules and regulations of the institution regarding conduct and other obligations during my time with Mohave Community College.
I have read and understand the paragraph above (required)

What's Next?

Once your application has been processed your MCC ID number will be emailed to you along with a link to register for Student Orientation and the next steps needing to be taken in order to register for classes.



Title IX is a federal law that makes it illegal to discriminate against a person on the basis of sex in any federally funded activity.

Title IX Coordinator
Danette Bristle

dbristle@mohave.edu
TitleIX@mohave.edu
Wk: 928.704.9480
Cell: 928.542.6920
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