application for admissions 2021 - apache college
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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
Tohono O'odham Community CollegeSan Carlos Apache College is a Course-Delivery Site
of TOCC
Application for Admissions
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)
tocc.edu apachecollege.org
Tohono O'odham Community CollegeSan Carlos Apache College is a Course-Delivery Site
of TOCC
Application for Admissions
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 admissions@apachecollege.org, 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 admissions@tocc.edu, 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
tocc.edu apachecollege.org
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