ADMISSIONS APPLICATION 2017-2018

APPLY FOR ADMISSIONAll students planning to enroll in credit classes first must submit an Admission Application. Apply online at www.aacc.edu/apply-and-register or submit completed applications in person, by fax or by mail to any of the locations listed below. Please print clearly using black ink. Be sure to complete every page, then sign and date the application. There is no application fee.

If you wish to change your academic program or personal information, submit an Change of Major Form or Demographic Information Change Form, but do not submit a second application.

Additional application procedures are required for: high school students participating in Concurrent Enrollment, Dual Credit, Early College Access Program, Early Admission and Gifted and Talented; international students; and students selecting health professions programs.

If you require special services or academic support for a learning disability, hearing impairment, physical limitation, visual impairment or other condition, call Disability Support Services at 410-777-2306 or Maryland Relay at 711.

ASSESS YOUR ACADEMIC SKILLSDegree and certificate seeking students may be directed to the Academic Support Center/Testing Office for academic assessment. To be successful in class, you must demonstrate a proficiency in reading and math skills.

We determine your skill level, or proficiency, by any of the following:

• American College Test (ACT).

• Anne Arundel Community College Accuplacer Tests.

• College-Level Examination Program (CLEP).

• Scholastic Assessment Test (SAT).

• Satisfactory completion of English and mathematics courses at other regionally accredited colleges and universities.

MEET WITH AN ADVISORTake your assessment results to meet with an academic advisor at any of our locations. All new students in degree and certificate programs must follow this step.

REGISTER FOR CLASSESObtain and submit registration forms from the locations listed below.

CONSIDER FINANCIAL AIDIf you are interested in financial aid, check the financial aid intent box on the application. Visit the Financial Aid office or online at www.aacc.edu/aid to see if you qualify for college and community scholarships, grants, veterans’ benefits or student loans.

PAY YOUR BILLPay your tuition either when you register or by the due date on the bill. Bills can be paid in person, online, by fax or by mail. Convenient tuition payment plans are available and can be initiated at the locations listed below. For your convenience, we accept debit cards, AmericanExpress, Discover, MasterCard, Visa and personal checks.

ATTEND ORIENTATIONAttend a new student orientation session to learn about our services, activities, facilities and policies. Call the new student orientation line at 410-777-2888 or go to www.aacc.edu/orientation.

STAY CONNECTEDUse your personal AACC portal, myaacc.aacc.edu, to register for future classes; look up your grades; see college announcements; email your instructors, advisor and friends; and access the AACC Bookstore, Truxal Library, and student clubs and organizations.

LOCATIONSARNOLD CAMPUS 101 College Parkway | Arnold, MD 21012 410-777-2246, 410-777-2018 (fax)

AACC AT ARUNDEL MILLS 7009 Arundel Mills Circle | Hanover, MD 21076 410-777-2010, 410-777-1965 (fax)

GLEN BURNIE TOWN CENTER 101 N. Crain Highway | Glen Burnie, MD 21061 410-777-2945, 410-777-2949 (fax)

FORT MEADE ARMY EDUCATION CENTER 2474 Ernie Pyle St. | Fort Meade, MD 20755 410-777-1470, 410-674-2187 (fax)

ENROLLMENT PROCEDURES

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WWW.AACC.EDU/INTERNATIONAL

YOUR COUNTY OF RESIDENCE

❏ ALLEGANY - A ❏ CARROLL - CAR ❏ HARFORD - HA ❏ ST. MARY’S - STM

❏ ANNE ARUNDEL - AA ❏ CECIL - CE ❏ HOWARD - HO ❏ SOMERSET - S

❏ BALTIMORE CITY - BC ❏ CHARLES - CH ❏ KENT - K ❏ TALBOT - T

❏ BALTIMORE COUNTY - BA ❏ DORCHESTER - D ❏ MONTGOMERY - M ❏ WASHINGTON - WA

❏ CALVERT - CAL ❏ FREDERICK - F ❏ PRINCE GEORGE’S - PG ❏ WICOMICO - WI

❏ CAROLINE - CA ❏ GARRETT - G ❏ QUEEN ANNE’S - QA ❏ WORCESTER - WO

❏ NOT MARYLAND - STATE/COUNTRY:

HOME PHONE: BUSINESS PHONE:

MOBILE PHONE:SOCIAL SECURITY NUMBER:

(REQUIRED FOR SCHOLARSHIPS AND FINANCIAL AID)

DATE OF BIRTH: GENDER: ❏ MALE ❏ FEMALE

EMAIL ADDRESS: PARENT’S EMAIL ADDRESS:

If you ever have taken classes, applied for admission or worked for Anne Arundel Community College, consult the Admissions and Enrollment Development office before completing this application. You may have an AACC record on file already.

Print clearly using black ink, check appropriate boxes and complete the entire application. No application fee is required.

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PERSONAL INFORMATIONNAME:___________________________________________________________________________________________________________________________ LAST FIRST MI

OTHER NAMES (E.G., MAIDEN)____________________________________________________________________________________________________________________________LAST FIRST MI

CURRENT RESIDENCE ________________________________________________________________________________________________________ STREET NUMBER AND NAME CITY_____________________________________________________________________________________________________________________________STATE ZIP CODE COUNTRY (IF NOT USA)

HOW LONG HAVE YOU LIVED AT YOUR CURRENT RESIDENCE?

❏ THREE MONTHS OR MORE | START DATE OF CURRENT RESIDENCY ____________________ (MONTH AND YEAR)

❏ LESS THAN THREE MONTHS* | START DATE OF PREVIOUS RESIDENCY ____________________ (MONTH AND YEAR)

* MUST PROVIDE PREVIOUS ADDRESS IF CURRENT ADDRESS IS LESS THAN THREE MONTHS.

PREVIOUS RESIDENCE ________________________________________________________________________________________________________ STREET NUMBER AND NAME CITY_____________________________________________________________________________________________________________________________STATE ZIP

OFF

ICE

USE

ON

LY

AACC ID# _______________________

SOURCE

ACT SCORES TEST DATE

ENG

MATH

ADMISSION STATUSREG – REGULARDEV – DEVELOPMENTALESL – ESLNONDG – NONDEGREEPROB – PROBATION

SAT SCORES TEST DATE

MATH

READING

WRITING

BASIS FOR STATUS1 – PREVIOUS COLLEGE ENGLISH2 – PREVIOUS COLLEGE MATH3 – STANDARDIZED TEST SCORES4 – PREVIOUS DEGREES EARNED

TOEFL SCORE TEST DATE

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ETHNIC BACKGROUND AACC welcomes students from all racial and ethnic backgrounds and is required by federal regulatory agencies to report general admission and enrollment information by these categories. This information is voluntary and is not used to determine eligibility for admission to college. The college appreciates your assistance in providing the following information:

Are you Hispanic or Latino? ❍  YES    ❍  NO

What is your race? Select one or more of the following categories.

❍ WHITE ❍ BLACK OR AFRICAN AMERICAN ❍ ASIAN ❍ AMERICAN INDIAN OR ALASKAN NATIVE ❍ NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER

ADDITIONAL INFORMATIONYOUR EMPLOYMENT STATUS: ❍ FULL TIME ❍ PART TIME ❍ UNEMPLOYED

PARENTS’ EDUCATION:

FATHER: ❍ Less than high school ❍ Some high school ❍ High school graduate ❍ Some college ❍ College graduate

MOTHER: ❍ Less than high school ❍ Some high school ❍ High school graduate ❍ Some college ❍ College graduate

RESIDENCY AND CITIZENSHIP

❍ U.S. citizen ❍ Not U.S. citizen

❍ Permanent resident (submit proof of alien receipt card) ____________________________________________________________________________

❍ Type of visa ________________________________________ Visa number _______________________________________________________________

❍ Country of citizenship ____________________________________________________________________________________________________________

MILITARY STATUS

BRANCH OF SERVICE: ❍ NOT APPLICABLE

❍ AIR FORCE ❍ ARMY ❍ COAST GUARD ❍ MARINES ❍ NATIONAL GUARD ❍ NAVY

❍ ACTIVE DUTY ❍ NATIONAL GUARD – MARYLAND ❍ NATIONAL GUARD – OTHER STATES

❍ RESERVES ❍ VETERAN ❍ DEPENDENT OF ACTIVE DUTY MILITARY ❍ DEPENDENT OF VETERAN

❍ DEPENDENT OF ACTIVE DUTY MILITARY DEPLOYED TO COMBAT AREA

EMERGENCY CONTACT

______________________________________________________________________________________________________________________FIRST NAME MI LAST NAME

______________________________________________________________________________________________________________________RELATIONSHIP TO YOU (E.G., PARENT, LEGAL GUARDIAN, SPOUSE, CHILD, FRIEND, ETC.) TELEPHONE

WWW.AACC.EDU/INTERNATIONAL

❍ I HAVE graduated from high school or earned a GED.

❍ I WILL graduate from high school or earn a GED.

❍ I did not and will not graduate from high school.

❍ While in high school, I will participate in the following high school and college programs:

❍ Concurrent enrollment. ❍ Dual credit. ❍ Early admission. ❍ Gifted and talented (under 16 years of age). ❍ Early College Access program. ❍ I have participated in a program pathways completer program in high school: ❍ YES ❍ NO

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M M Y Y Y Y

COLLEGE INFORMATIONI have earned college credit at other colleges or universities since high school graduation. ❍ YES    ❍ NO

If yes, what is the highest degree you have earned?

❍ NO PRIOR DEGREE    ❍ CERTIFICATE    ❍ ASSOCIATE    ❍ BACHELOR    ❍ MASTER    ❍ DOCTORATE

PRIOR COLLEGES/UNIVERSITIES ATTENDED. List all institutions starting with the most recent.

NAME CITY AND STATE OR COUNTRY DATES ATTENDED DEGREE

____________________________________________ ____________________________ ______________ ____________

____________________________________________ ____________________________ ______________ ____________

____________________________________________ ____________________________ ______________ ____________

____________________________________________ ____________________________ ______________ ____________

ENROLLMENT INFORMATIONTerm/year applying for: YEAR 20__________

❍ FA = FALL (AUG.-DEC.) ❍ WI = WINTER (TWO-WEEK TERM) ❍ SP = SPRING (JAN.-MAY) ❍ SU = SUMMER (MAY-AUG.)

M M Y Y Y Y

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HIGH SCHOOL INFORMATION

MOST RECENT HIGH SCHOOL ATTENDED – ANNE ARUNDEL COUNTY

❍ ANNAPOLIS – 210008 ❍ ANNAPOLIS AREA CHRISTIAN SCHOOL – 210007

❍ ANTIOCH CHRISTIAN SCHOOL – 210024

❍ ARCHBISHOP SPALDING – 210583 ❍ ARUNDEL – 210570 ❍ BROADNECK – 210011

❍ CHESAPEAKE – 210808 ❍ CHESAPEAKE SCIENCE POINT CHARTER SCHOOL – 210628 ❍ GLEN BURNIE – 210585

❍ KEY SCHOOL – 210013 ❍ MEADE – 210531 ❍ NORTH COUNTY – 210710

❍ NORTHEAST – 210807 ❍ OLD MILL – 210572 ❍ SEVERN SCHOOL – 210945

❍ SEVERNA PARK – 210943 ❍ SOUTH RIVER – 210494 ❍ SOUTHERN – 210720

❍ ST. MARY’S – 210015❍ OTHER – NAME OF HIGH SCHOOL

ALONG WITH CITY AND STATE:

________________________________________❍ MARYLAND GED – 219200

❍ OUT-OF-STATE GED – 219400 ❍ HOME SCHOOLED – 219501 ❍ NOT A HIGH SCHOOL GRADUATE – 219200

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BUSINESS❍ Business Administration | AS.BPA.ADM

ENGINEERING AND MATH❍ Electrical Engineering | ASE.EGR.ELEC❍ Engineering Transfer | AS.EGR.EGR❍ Mathematics | AS.MATH.MATH

HEALTH AND HUMAN SERVICES❍ Health, Fitness, and Exercise Studies | AS.HEA.FIT.EXERCISE❍ Nursing (RN) | AS.NUR.RN❍ Public Health | AS.PBH.PUBLIC-HEA

HUMANITIES AND SOCIAL SCIENCE❍ American Sign Language | AA.ARTS-SCI.ASL❍ Communications |AA.ARTS-SCI.COMM❍ Creative Writing |AA.ARTS-SCI.CREAT-W❍ Dance | AA.ARTS-SCI.DANCE❍ English | AA.ARTS-SCI.ENGLISH❍ Film Studies | AA.ARTS-SCI.FLM-STDS❍ Gender and Sexuality Studies | AA.ARTS-SCI.GSS❍ History| AA.ARTS-SCI.HISTORY❍ Liberal Arts | AA.ARTS-SCI.LIBERAL❍ Music | AA.ARTS-SCI.MUSIC❍ Psychology | AA.ARTS-SCI.PSY❍ Sociology |AA.ARTS-SCI.SOC❍ Theater | AA.ARTS-SCI.THEATER

LAW AND CRIMINAL JUSTICE❍ Law and Jurisprudence | AA.LGS.JURIS-TRANS

SCIENCE❍ Astronomy | AS.ARTS-SCI.AST❍ Biology | AS.ARTS-SCI.BIO❍ Chemistry | AS.ARTS-SCI.CHE❍ Earth Science | AS.ARTS-SCI.EARTH❍ Environmental Science | AS.ARTS-SCI.ENV❍ Nursing Transfer | AS.ARTS-SCI.NUR❍ Nutrition | AS.ARTS-SCI.NUTRI❍ Physics | AS.ARTS-SCI.PHY❍ Plant Science | AS.ARTS-SCI.PLANT❍ Premedical Professional | AS.ARTS-SCI.PREMED

TEACHER EDUCATION❍ Early Childhood Education/Early Childhood Special Education | AAT.EDU.ECE❍ Elementary Education/Elementary Special Education |AAT.EDU.ELEM-ESE❍ Secondary Education - Chemistry | AAT.EDU.SEC-CHEM❍ Secondary Education - English | AAT.EDU.SEC-ENG❍ Secondary Education - Mathematics | AAT.EDU.SEC-MATH❍ Secondary Education - Physics | AAT.EDU.SEC-PHYS❍ Secondary Education - Spanish | AAT.EDU.SEC-SPA

TECHNOLOGY❍ Computer Science | AS.CPS.COMP-SCI❍ Information Systems | AS.CPS.INFO-SYS

VISUAL ARTS❍ Art History and Museum Studies | AA.VSL.ART-HIS-ME❍ Game Art and Design | AA.VSL.GAME.ART-DSGN❍ Photography | AA.VSL.PHOTO❍ Studio Arts | AA.VSL.STUDIO-ART❍ Visual Design (Web and Graphic) | AA.VSL.VISUAL-DSGN

TRANSFER STUDIES❍ Transfer Studies | AA.TRANSFER.STDS❍ Undeclared – Transfer | AA.GEN.UND-TRAN

Find the one statement, from choices 1-5, that most closely reflects your educational goal in attending AACC. Check the box of your major program of study from the list that appears under your selected goal statement. For more detailed information, visit www.aacc.edu.

CREDIT AREAS OF STUDY/EDUCATIONAL GOAL

� My goal is to earn an Associate of Arts (A.A.), Associate of Science (A.S.), Associate of Arts in teaching (A.A.T.) degree or an Associate of Science in Engineering (A.S.E.) so I can transfer to a four-year college or university.

My program interest is (check only one):

WWW.AACC.EDU/INTERNATIONALWWW.AACC.EDU

ARCHITECTURE AND INTERIOR DESIGN❍ Architecture | AAS.ACH.ID-ARCH❍ Construction Management | AAS.ACH.CONSTR-MGT❍ Interior Design | AAS.ACH.ID-INT-DSGN❍ Landscape Design | AAS.ACH.LAND-DSGN

BUSINESS❍ Business Management – Advertising/Marketing | AAS.BMT.ADV-MKT❍ Business Management – Communications | AAS.BMT.BUS-COM❍ Business Management – Financial Accounting | AAS.BMT.FIN-ACCOUNT❍ Business Management – Healthcare Professionals | AAS.BMT.HEA-PROF❍ Business Management – Human Resources | AAS.BMT.HR❍ Business Management – Leadership | AAS.BMT.LEADER❍ Business Management – Office Management | AAS.BMT.OFF-MGT❍ Business Management – Small Business Management | AAS.BMT.SML-BUS.MGT❍ Business Management – Social Enterprise | AAS.BMT.SOC-ENTP❍ Business Management – Supply Chain Management | AAS.BMT.SPLYCHN.MGT❍ Entrepreneurship | AAS.ESI.ENTREP❍ Financial Accounting | AAS.BPA.FIN-ACCT

ENGINEERING AND MATH❍ Electronics Engineering Technology | AAS.EGR.ELECTRONICS❍ Mechatronics Engineering Technology | AAS.EGR.MECHATRONICS

HEALTH AND HUMAN SERVICES❍ Addiction Counseling | AAS.HUS.ADD-CNSL❍ EMT – Paramedic | AAS.EMT.EMT❍ Health Information Technology | AAS.HET.HET❍ Human Services | AAS.HUS.HUS❍ Massage Therapy | AAS.IHE.MASS-THRPY❍ Medical Assisting | AAS.MDA.MDA❍ Medical Laboratory Technician | AAS.MLT.MLT❍ Nursing (RN) | AS.NUR.RN❍ Physical Therapist Assistant | AAS.PTA.PTA❍ Radiologic Technology | AAS.RAD.RAD❍ Surgical Technology | AAS.SGT.SGT

HOSPITALITY MANAGEMENT AND CULINARY ARTS❍ Baking and Pastry Arts | AAS.HRM.BAK-PASTRY❍ Culinary Arts | AAS.HRM.CULINARY-A❍ Hospitality Management | AAS.HRM.HOSPITALITY

LAW AND CRIMINAL JUSTICE❍ Cybercrime | AAS.LEN.CYBR-CRME❍ Forensic Police Science | AAS.CJS.ST-FOR.POL❍ Forensic Scientist | AAS.CJS.ST-FOR.SCT❍ Homeland Security Management | AAS.HLS.HMLD.SEC-MGT❍ Homeland Security Management – Intelligence Analytics Track | AAS.HLS.INTEL-ANLYS❍ Homeland Security Management – Transportation and Border Security Track | AAS.HLS.TPT-BDR-SEC❍ Juvenile Justice | AAS. CJS.JUV-JUST❍ Law Enforcement and Criminal Justice | AAS.LEN.LEN❍ Paralegal Studies – Business | AAS.PARA.BUSN❍ Paralegal Studies – General Practice | AAS.PARA.GENL❍ Paralegal Studies – Litigation | AAS.PARA.LITG❍ Police Academy | AAS.LEN.POLICE.ACAD❍ Social Justice | AAS.LEN.SOCIAL-JUST

TEACHER EDUCATIONEarly Childhood Development | AAS.EDU.ECD

TECHNOLOGY❍ Information Systems Technology | AAS.CIS.INF-SYS❍ Database Administration | AAS.CPS.DATABASE-ADM❍ Database Development | AAS.CPS.DATABASE-DEV❍ Information Assurance and Cybersecurity – Digital Forensics | AAS.CIS.DIGITAL-FRSC❍ Information Assurance and Cybersecurity – Networking | AAS.CIS.NETWORK❍ Information Assurance and Cybersecurity – Security | AAS.CIS.SECURITY❍ Internet Application Development | AAS.CPS.INT-APP-DEV❍ Mobile Device Application Development | AAS.CPS.MOBL-APP-DEV

VISUAL ARTS❍ Game Development - Visual Arts Professional | AAS.VSL-P.GAME-DEV❍ Graphic Design | AAS.VSL-P.GRPH-DSGN❍ Media Production | AAS.VSL-P.MEDIA-PROD❍ Web and Interactive Design | AAS.VSL-P.WEB-I-DSGN

UNDECIDED❍ Undeclared – Career | AA.GEN.UND-CAR

6

� My goal is to earn an Associate of Applied Science (A.A.S.) degree so I can prepare for a career or possibly transfer to a four-year college or university. My program interest is (check only one):

WWW.AACC.EDU/INTERNATIONAL

ALTERNATIVE AND SUSTAINABLE ENERGY SYSTEMS❍ Alternative and Sustainable Energy Systems | CRT.PHY.SESYS

ARCHITECTURE AND INTERIOR DESIGN❍ Advanced Interior Design | CRT.ACH.INT-DSN-ADV❍ Architectural CAD | CRT.ACH.CAD❍ Architectural Illustration | CRT.ACH.ILLUSTRATION❍ Construction Management Entrepreneurship | CRT.ACH.CSTN-ENTREP❍ Construction Management | CRT.ACH.CSTN-MGMT❍ Interior Design | CRT.ACH.INT-DSGN❍ Landscape Design | CRT.ACH.LAND-DSGN❍ Production Design | CRT.PROD.DSGN

BUSINESS AND ENTREPRENEURSHIP❍ Advertising/Marketing | CRT.BMT.ADV-MRKT❍ Business Communications | CRT.BMT.BUS-COM❍ Entrepreneurship | CRT.ESI.ENTREP❍ Financial Accounting | CRT.BMT.FIN-ACCOUNT❍ Health Care Professionals | CRT.BMT.HEA-CR-PRF❍ Human Resources | CRT.BMT.HR❍ Leadership | CRT.BMT.LEADER❍ Office Management | CRT.BMT.OFFICE-MGT❍ Retail Management | CRT.BPA.RTL-MGT❍ Small Business Management | CRT.BMT.SM-BUS-MGT❍ Social Enterprise | CRT.BMT.SOC.ENTPRISE❍ Supply Chain Management | CRT.BMT.SPLYCHN.MGMT

COMPUTERS AND INFORMATION SYSTEMS❍ Advanced Digital Forensics | CRT.CIS.DIGIT-FRSC-A❍ Advanced Network Security | CRT.CIS.NET-SEC-ADV❍ Cisco Certified Network Associate (CCNA) Preparation | CRT.CIS.CCNA❍ Cisco Certified Network Professional (CCNP) Preparation | CRT.CIS.CCNP❍ Computer Information Systems - Database Administration | CRT.CIS.DATA-ADMN❍ Computer Information Systems - Microsoft Office Specialist | CRT.CIS.MICROSOFT-OS❍ Computer Information Systems - Scientific Programming Option | CRT.CIS.SCI-PROG❍ Computer Science - Database Development | CRT.CPS.DATA-DEV❍ Cyber Technology | CRT.CIS.CYBER-TECH❍ Digital Forensics | CRT.CIS.DIGITAL-FRSC

❍ Internet Application Development | CRT.CIS.DEV.INT-APP❍ Mobile Device Application Development | CRT.CIS.MOBL-DEVICE❍ Network Security | CRT.CIS.NET-SEC❍ Personal Computer Specialist, Help Desk Specialist Option | CRT.CIS.HELP-DESK❍ Server Administration and Security | CRT.CIS.SERVER❍ UNIX/LINUX System Administrator | CRT.CIS.UNX-LNX-SYS

EDUCATION❍ Special Education Support | CRT.EDU.SES

ENGINEERING AND TECHNOLOGY❍ Electronics Technology | CRT.EGR.ELEC-TECH❍ Mechatronics Technology | CRT.EGR.MECHATRONICS

ENVIRONMENTAL SCIENCE❍ Ecosystem Restoration | CRT.SPM.ECOSYS❍ Environmental Monitoring and Assessment | CRT.SPM.ENV-MTR

FINANCIAL ACCOUNTING❍ Financial Accounting | CRT.BPA.FIN-ACCT❍ Business Accountant | CRT.BPA.BUS-ACCT❍ Professional Bookkeeper | CRT.BPA.PROF-BKKP

GENDER AND SEXUALITY STUDIES❍ Gender and Sexuality Studies | CRT.GSS.STDS

HEALTH❍ Personal Trainer | CRT.HEA.PER-TRAIN

HOTEL/RESTAURANT MANAGEMENT❍ Baking and Pastry Arts | CRT.HRM.BAK-PASTRY❍ Culinary Arts | CRT.HRM.CUL-ART❍ Event Planning and Catering | CRT.HRM.EVT-PLN-CAT❍ Hotel/Lodging Management | CRT.HRM.HTL-LDG-MGT❍ Restaurant Cooking Skills | CRT.HRM.REST-COOKING

HUMAN SERVICES❍ Addiction Counseling | CRT.HUS.ADD-CNSL❍ Human Services | CRT.HUS.HUS❍ Veterans Counseling | CRT.HUS.VET-CNSL

HOMELAND SECURITY AND CRIMINAL JUSTICE❍ Cybercrime | CRT.LEN.CYBR-CRME❍ Intelligence Analytics | CRT.HLS.INTEL-ANYL❍ Law Enforcement and Criminal Justice | CRT.LEN.LEN❍ Police Academy | CRT.LEN.POLICE-ACAD

Continued on page 8.

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� My goal is to earn a certificate, which requires fewer credit hours than an Associate of Applied Science (A.A.S.) degree, so I can update my job skills. My program interest is (check only one):

WWW.AACC.EDU/INTERNATIONALWWW.AACC.EDU

MEDICAL (SELECTIVE ADMISSION)❍ EMT Intermediate | CRT.EMT.INTERMEDIATE❍ EMT-Paramedic | CRT.EMT.P❍ Medical Assisting | CRT.MDA.MDA❍ Medical Coding | CRT.IHE.MED-CODE❍ Massage Therapy | CRT.IHE.MASS-THRPY❍ Physician Assistant Professional | CRT.PA-PROF❍ Practical Nursing (PN) | CRT.NUR.PRAC-NRSG

MEDICAL (OPEN ADMISSION)❍ Electrocardiogram and Intravenous Therapy Technician | CRT.MDA.ECG-IV❍ Health Care Delivery Systems | CRT.IHE.HEA-CARE.DS

PARALEGAL STUDIES (REQUIRES MINIMUM OF ASSOCIATE DEGREE)❍ Paralegal Studies - Business | CRT.PARA-BUSINESS❍ Paralegal Studies - General Practice | CRT.PARA.GENL❍ Paralegal Studies - Litigation | CRT.PARA.LITG

TRANSFER STUDIES❍ Transfer Studies | CRT.TRN.STDS

TRANSPORTATION, LOGISTICS AND CARGO SECURITY❍ Transportation, Logistics and Cargo Security | CRT.BMT.TRANSPORT

VISUAL ARTS❍ Game Development | CRT.ART.GAME-DEV❍ Graphic Design | CRT.ART.GRPH-DSGN❍ Media Production | CRT.VSL.MEDIA-PRDN❍ Photography | CRT.VSL.PHOTO❍ Web and Interactive Design | CRT.ART.WEB-I-DSGN

UNDECIDEDUndeclared – Certificate | AA.GEN.UND-CRT

8

� My goal is to take courses for personal enrichment, professional development or transfer preparation WITHOUT earning a degree or certificate at AACC. May not be selected by VA or financial aid recipients.

❍ Non-degree-Seeking Students | ND.NON.DEGREE

Select one of the following reasons for attending:

❍ Personal enrichment ❍ Professional development – update job skills ❍ Transfer prior to receiving a certificate or degree

� My goal is to take English as a Second Language (ESL) courses in order to improve my language skills before taking credit courses.

❍ English as a Second Language | CRT.ESL.ESL

FINANCIAL AIDI intend to apply for financial aid: ❍ YES ❍ NO

DISCIPLINARY HISTORYHave you ever been convicted of a felony and/or are there any pending charges? If your answer is yes, provide a written explanation and all relevant documents and information regarding the matter.

Have you ever been convicted? ❍ YES ❍ NO

Have you ever been disciplined for a conduct issue by any college or university including, but not limited to, probation, dismissal or suspension? If you answer yes, provide a written explanation and information regarding the matter.

Have you been disciplined for misconduct in the last four years? ❍ YES ❍ NO

CERTIFICATIONIn making this application, I accept and abide by the policies and regulations of Anne Arundel Community College concerning drug and alcohol abuse and understand that the unlawful use of drugs or alcohol will subject me to the penalties contained in those policies and regulations. I also certify that the information I have given on this application form is accurate and complete. Failure to provide accurate information, particularly regarding residency, may be just cause for dismissal from the college. I understand it is my responsibility to notify the Records and Registration office of any change in the information contained in this application.

Student’s signature __________________________________________________ Date ___________________________________________

Anne Arundel Community College is a fully accessible campus.

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Campus Information

ATM

Book Store

Bus Stop

Food Service

Public Safety & Police

Annex A ClassroomsAnnex B ClassroomsAstronomy LabCareers Center Help Desk

Central Services Building Receiving Police

Child Development CenterDragun Science BuildingJenkins Gymnasium

Humanities BuildingIsaac Cox House AACC Foundation

Johnson BuildingTruxal LibraryRobert P. Ludlum Hall College Administration

Math BuildingModular BuildingPascal Center for Performing Arts

Physical Plant Sculpture Studios

Olson Memorial PoolResource Management BuildingSchwartz BuildingStudent Services Center Admissions Advising Registration

Student Union AACC Bookstore Dining Hall

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Download the AACC mobile app to help find your wayaround campus.Available at the iTunes Store and Google Play.

410-777-1818410-777-AACC

East Campus Buildings West Campus Buildings

Public Safety & PoliceCampus Information

Cade Center for the Fine ArtsCenter for Applied Learning and TechnologyFlorestano BuildingDr. Martin Luther King Jr. Memorial

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GYM

Arnold Campus Map 101 COLLEGE PARKWAYARNOLD, MD 21012

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NOTICE OF NONDISCRIMINATION: AACC is an equal opportunity, affirmative action, Title IX, ADA Title 504 compliant institution. Call Disability Support Services, 410-777-2306 or Maryland Relay 711, 72 hours in advance to request most accommodations. Requests for sign language interpreters, alternative format books or assistive technology require 30 days’ notice. For information on AACC’s compliance and complaints concerning sexual assault, sexual misconduct, discrimination or harassment, contact the federal compliance officer and Title IX coordinator at 410-777-1239, complianceofficer@aacc.edu or Maryland Relay 711. 9/17