application for admissions 2021 - apache college

Tohono O'odham Community CollegeSan Carlos Apache College is a Course-Delivery Site

of TOCC

Application for Admissions

___ American Indian or Alaskan Native

Citizenship Status: ___ US Citizen ___ Resident Alien

___ None ___ Hearing ___ Learning

___ Mobility ___ Speech ___ Vision

Address:

Section 1: Applicant InformationFor Office Use Only Student ID #:

What tribe are you enrolled in? ____________________________ What is your enrollment number? __________________________

Tribal Affiliation

Section 2: Contact Information

If you have a disability, please select what type of disability you have: (select all that apply)

Which district are you enrolled in? _________________________ What community do you residing in: ________________________

As of Spring 2009, because of some changes in the department of Homeland Security guidelines, Tohono O'odham Community College has re-evaluated our college's guidelines for international applicants, Tohono O'odham Community College is not a SEVP approved school and cannot accept other non-immigrant students for regular admission.

___ Nonresident Alien

Other InformationAre you a Unidted States Veteran? ___ Yes or ___ No

Race: ___ Native Hawaiian or Other Pcific Islander

___ Blak or African American

___ White___ Asian

Maritial Status: Married / Single Ethinicity: Hispanic/Latino or Not Hispanic/Latino

Last: First: Middle:

Identification Social Security Number:

Biographical Information Date of Birth:

Gender: Male or Female (Federal law requirest this information for statistical reporting. Your response is required.)

Mailing Address: ______________________________________________________________________

Name

Suffix:What is your birth/madien name?

Citizenship

Personal Email Address: ________________________________________________

tocc.edu apachecollege.org


of TOCC


Sate: __________

Sate: __________

____ San Carlos Apache College Site

____ TOCC Phoenix Center Site

*All degrees/certificates are awarded by Tohon O'odham Community College and availble at TOCC locations. Programs delivered through the San Carlos Apache College Site are labled with (SCAC)*

___ Associate of Arts in Liberal Arts (SCAC)

___ Associate of Arts in Life Science

___ Associate of Applied Science in Early Childhood Education

___ Certificate in Casino Gaming

___ Certificate in Substance Abuse and Addiction Studies (SCAC)

___ Certificate in Social Services (SCAC)

Transfer Programs Direct Employment Programs

___ Associate of Fine Arts

___ Associate of Business in Business Administration (SCAC)

___ Associate of Arts Computer Information Systems

___ Associate of Arts in Early Childhood Education

___ Associate of Arts in Elementary Education

___ Associate of Applied Science in Computer Information Systems

___ Associate of Applied Science in Business Management (SCAC)

___ Certificate in Digital Media

Phone Number: _____________________________ Relationship: __________________________________

Mailing Address: ______________________________________________________________________

City: _______________________________________ Zipe Code: _______________

City: _______________________________________ Zipe Code: _______________

What is your mobile/cell phone number? ________________________________________

Emergency Contact: First Name: __________________________ Last Name: _________________________

What is your highest grade you've completed? ___ High School Graduate; ___ GED; ___ College Graduate

Are you in Sate or Out of State student? (check one) ____ In State; ____ Out of State; ____ Non-Native Phoenix Student

Are you a Degree Seeking? ___ Degree Seeking (Intending on earning a degree from TOCC); ___ Non-Degree Seeking

Section 3: Enrollment / Anticipated Enrollment Information

Which location would you like to attend? (check one)

____ Tohono O'odham Community College Main Campus loations in Sells, AZ

___ Dual Enrollment (Current High School Student)

___ Personal Development (Non-Degree Seeking)

___ Transfer in from another college/university (Non-Degree Seeking)

___ Certificate/Degree Seeking___ Courses for Transfer Out (Non-Degree Seeking)

What is your purpose of enrollment?

What is your Program of Interest? (For Degree Seeking Students; Circle One)



of TOCC


Date Applicant's Signature

How to submit (SCAC): Return your complted application to the San Carlos Apache College Administration building on San Carlos Avenue; or Mail to PO Box 344, San Carlos, AZ 85550, Attn: Student Services; or email application to [email protected], or fax completed application to 928-475-2018.

How to submit (TOCC): Return complted application to Student Services in I-We:mta Ki: building at the S-cuk Du'ag Campus; or, mail to PO Box 3129, Sells, AZ 85634, Attn: Student Services; or email application to [email protected], or fax application to 520-383-8403

Should we restrict access to your information per FERPA regulations?

YES / NO

I certify that the information above is true and correct to the best of my knowledge:

_______________________________________________________________ _____________________________

Other Information:

Have either of your partents earned a Bachelor's Degree?

YES / NO

College Previously Attended: List all colleges, universities, and technical schools attended

Name of College/University City, State Date (from/to) Degree Received

Have you previously applied to our school? YES / NO What year did you apply to our school? ___________________

GED Inormation: Do you have a GED? YES / NO

GED Test Date: _____________________ Name of GED Testing Center: ___________________________

High School Information:

Name of the Last High School Attended: _______________________________________ Graduation Date: ___________________

___ Associate of Science in Life Science

___ Associate of Arts in Social Work (SCAC)

___ Undecided (Undecided majors will be defaulted into the Associate of Arts in Liberal Arts program)

___ Associate of Arts in Tohono O'odham Studies

___ Associate of Science in Physical Science


application for admissions 2021 - apache college

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