Application forAdmission - Wayne County Community College ...

1 STUDENT TYPESC heck all boxes that apply New Student Guest Student Virtual Learning Collaborative Returning Student Transfer Student Tech PrepWhen do you plan to enroll? Summer 20 _____ Fall 20 _____ Spring 20 _____Preferred Campus Downriver Downtown Eastern Northwest WesternPreferred Program Code _____ associate s Certificate Selected Courses(See Insert)DegreeOnlyPRIOR ACADEMIC HISTORYList the last or current high school attended and all colleges, universities or other post-secondary educationalprograms (S) OF HIGH SCHOOL (S), College (S) OR GED CENTERGRADUATION DATE(Attach additional sheets if necessary)MONTHDATEYEARDid you graduate from high school?

2 Yes NoName of High SchoolCity & StateGED Yes NoDid you take Tech Prep classes in high school? Yes NoIf yes, which center? College /UniversityName of College or UniversityCity & StateSTUDENT'S SIGNATUREI certify that all information on this form is complete and accurate. I understand that falsifying any partof this Application may result in cancellation of admission, registration or both. If admitted to Wayne CountyCommunity College District, I will become knowledgeable of all College policies and regulations and willabide by 's signatureDateForm 101 - 9/93, 4/94, 3/96, 7/99, 2/00, 11/03, 5/06 - 50000 HDM, 7 NorthlineTaylor, MI 48180-4717734-946-3500 Downtown1001 W.

3 Fort , MI 48226-3001313-496-2758 Eastern5901 ConnerDetroit, MI 48213-3457313-922-3311 Northwest8200 W. Outer DriveDetroit, MI 48219-3580313-943-4000 Western9555 HaggertyBelleville, MI 48111-1404734-699-7008 NOTICE OF NON DISCRIMINATION - Any questions concerning Title IX of the Education Amendments of 1972 which prohibits discrimination on the basis of sex, or inquiries related toSection 504 of the Rehabilitation Act of 1973 which prohibits discrimination on the basis of handicap, and inquiries related to Title II of the Americans with Disabilities Act (ADA)

4 Whichprovides comprehensive civil rights protection for individuals with disabilities, or the College s Statement of Compliance with Federal and State law, should be directed to HumanResources, Wayne County Community College District, 801 W. Fort, Detroit, MI 48226 or by calling: ADDRESS AND PHONE NUMBERSNUMBER & B0X OR APARTMENTCITYSTATEZIP CODE HOME TELEPHONE NUMBER MMDDY Y SOCIAL SECURITY NUMBERDATE OF BIRTHGENDER FEMALE MALEAre you a veteran? Yes certificate#PLEASE INDICATE YOUR RACIAL ORETHNIC HERITAGE:Are you a resident in the WCCCD District?

5 Yes NoCounty of residenceHow long have you lived there?RESIDENCYS tudents residing in the College District will be charged residenttuition rates. The College District is defined as the whole of WayneCounty with the exception of the following cities and townships:Dearborn, part of Dearborn Heights, Garden City, Highland Park,Livonia, Northville, Plymouth and part of Canton will be verified by voter registration card, driver's license,tax or rent receipts, or state identification you a Citizen? Yes NoCountry of CitizenshipCountry of birthType of VisaDate of VisaVisa #If you are a Naturalized Citizen, submit a photocopy ofyour Alien Registration Card with this Application .

6 African American(Non Hispanic) American Indian/Alaskan Native Caucasian (Non Hispanic) Asian/Pacific Islander African Hispanic: Puerto RicanMexican-American, Cubanand other Latino Cultures Arabic/Middle Eastern Other No responseIs English your second language? Yes NoIf yes, what is your primary language?This section is optional and will not be considered indetermining admissibility. Federal regulations do requireWCCCD to report County Community College DistrictAPPLICATION FOR ADMISSIONE-MAIL ADDRESSWELCOME STATEMENTWELCOME to Wayne County Community College District.

7 Our mission is to empower individuals, businessesand communities to achieve their goals through excellent and accessible services, culturally diverseexperiences, and globally competitive higher education and career advancement County Community College District offers an affordable, quality education for today and PROCEDURESNEW STUDENTSA dmission to Wayne County Community College District is Open Door ; it is automatic for those who are 18 orolder. Admission to specific programs is not automatic. New students are required to complete this Application forAdmission and submit it to the District Office of Admissions at 801 W.

8 Fort St., Detroit, MI 48226. For those under18 years of age, the possession of a high school diploma or approval of a parent or guardian is required toaccompany the Application for high school Juniors and Seniors may apply for enrollment in WCCCD classes by completing the Dual orConcurrent Enrollment form along with submitting written permission from a parent or guardian and the highschool principal. This form should be submitted to the Office of Admissions. Persons under age 18 must resubmitthe Dual or Concurrent enrollment form and be approved for each semester for which they intend to enrollregardless of previous 1:Apply for Admission Complete and submit the Application for Admission.

9 Returning students (students who havenot attended WCCCD in two or more years) should complete the admissions Application andsubmit transcripts of previously attended colleges/universities. Take the placement test (COMPASS) in the testing room at the campus of your 2:Meet with an Academic Advisor Discuss assessment results. Discuss and explore your course options, educational goals and develop an educational plan. Activate your PIN so you can register online through Web-GateStep 3:Check the status of your financial aid if necessaryStep 4:Register for classes May be done online or at the 5:Cashier Pay tuition and fees, discuss payment options and obtain your class schedule Payments may be made by money order, check, Visa, MasterCard, Discover, AmericanExpress, or ATM debit 6:Photo ID Card Obtain official College ID card and parking permit.