Application for Admission

Name *

First

Middle

Last

If you have no middle name, use "n/a".

Suffix

Jr., Sr., III, etc.

Former name

if applicable

Chosen first name

if applicable

Chosen middle name

if applicable

A chosen name cannot:

misrepresent a person’s identity and/or misappropriate the identity of another person or organization;
be used in attempt to avoid a legal obligation;
be used if its appearance on college records would be harmful to the reputation or interests of the college;
be derogatory, obscene, convey an offensive message, or be otherwise inappropriate.

Preferred pronoun

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

County of Residence *

Other County of Residence

If "Other" is selected above, put your county name in this box.

Are you a citizen of the U.S.A.? *

Yes
No

Stop!

If you are not a citizen of the U.S.A. (excluding resident aliens), please visit sc4.edu/international for an International Student Application for Admission. If you are not a U.S. citizen but possess a visa or green card, you are required to submit a copy of it with your Application for Admission.

If you have any questions please contact Sherry Artman at (810) 989-5560.

Primary phone *

Alternate phone

Date of birth *//

Social Security number (optional)

You are required (by the federal government) to provide your SSN if you will be applying for federal financial aid or will need your tuition information for federal tax credits.

Unique Identification Code (UIC)

Available on Michigan K-12 school transcript or from your high school counseling office. Not every applicant will have a UIC; leave blank if uncertain. (If entered, UICs have 10 digits, including any leading zeros.)

Email *

Your Previous Education

Did you successfully complete... *

High school (diploma)
Home school (certification)
A GED test
Did not complete high school or equivalent

Year you completed previous education *

Name of High School or GED Test Site *

If you completed high school or a GED, fill in the name of the school or test site. If you didn't complete high school, fill in the name of the last high school attended. If you were homeschooled, enter "Homeschool." If you didn't attend high school, enter "None."

First College or University

First College City and State *

First College Month/Year Started (MM/YY) *

First College Month/Year Ended (MM/YY) *

First College Degree Earned

Second College or University

Second College City and State *

Second College Month/Year Started (MM/YY) *

Second College Month/Year Ended (MM/YY) *

Second College Degree Earned *

Third College or University

Third College City and State *

Third College Month/Year Started (MM/YY) *

Third College Month/Year Ended (MM/YY) *

Third College Degree Earned *

Fourth College or University

Fourth College City and State *

Fourth College Month/Year Started (MM/YY) *

Fourth College Month/Year Ended (MM/YY) *

Fourth College Degree Earned *

Additional colleges, universities, or schools

If you attended more than four colleges or universities, list the others in this box. We will contact you for additional details if needed.

Your college plans

Starting semester *

What semester are you planning to begin at SC4?

Program of Study *

Are you interested in earning a specific SC4 degree or certificate or taking courses for transfer?

Please Note

This may not financial aid eligible.

This is a skill set, which has a minimum of 16 credits and the approximate time frame it takes to complete as a full-time student is one semester.

This program is designed as a building block for certificate programs.

Please Note

This is a skill set, which has a minimum of 16 credits and the approximate time frame it takes to complete as a full-time student is one semester.

This program is designed as a building block for certificate programs.

Please Note

This is a certificate program, which has a minimum of 30 credits and the approximate time frame it takes to complete as a full-time student is one year.

This program is designed to prepare students for entry-level careers.

Please Note

This may not financial aid eligible.

This is a certificate program, which has a minimum of 30 credits and the approximate time frame it takes to complete as a full-time student is one year.

This program is designed to prepare students for entry-level careers.

Please Note

This is a Health Sciences certificate program and requires a secondary application and admittance to the program. This program has a minimum of 30 credits and the approximate time frame it takes to complete as a full-time student is one year.

This program is designed to prepare students for entry-level careers.

Please Note

This is a Health Sciences associate degree program (nursing, radiologic technology and respiratory therapy). It requires a secondary application and admittance to the program. This program has a minimum of 62 credits and the approximate time frame it takes to complete as a full-time student is two years.

This program is designed to prepare students for employment in a specific career field.

Please Note

This is an associate degree program, which has a minimum of 62 credits and the approximate time frame it takes to complete as a full-time student is two years.

This program is designed to prepare students for employment in a specific career field.

Please Note

This is an transfer associate degree program, which has a minimum of 62 credits and the approximate time frame it takes to complete as a full-time student is two years.

This program is designed to prepare students for transferring to a four-year college or university.

Please Note

This is for students with a radiologic technology.

This is an associate degree program, which has a minimum of 62 credits and the approximate time frame it takes to complete as a full-time student is two years.

This program is designed to prepare students for employment in a specific career field.

Military status

Are you a veteran or did you ever serve in the U.S. military? *

Yes
No

Are you an active member of the military, a member of the National Guard or of the military reserves? *

Yes
No

Are you the spouse or dependent of a veteran or someone who has ever served in the U.S. military, including the National Guard or Reserves? *

Yes
No

Do you plan to use veteran, dependent, spouse, or survivor benefits while attending SC4? *

Yes (see NOTE below)
No
Not sure

NOTE: For assistance with your education benefits, call SC4's Veterans Services Office at (810) 989-5526.

Demographic information

This optional information provided is held confidential and is not used by SC4 for admission purposes.

Race *

Ethnicity *

Hispanic/Latino
Non-Hispanic/Non-Latino
Prefer not to disclose

Gender *

Female
Male
Prefer not to disclose

Application Submission

Conferring of Educational Credentials *

I agree
I decline

By checking this box, I give my consent to St. Clair County Community College to review my entire academic record and confer an educational credential upon satisfaction of all degree/certificate requirements.

Electronic signature *

I certify that all answers I have given are complete and accurate. I understand that the official policies and procedures of SC4 are published in the College Catalog at sc4.edu/catalog. Type your full legal name in the box provided as an electronic signature for this Application for Admission.

Admissions & Aid

General Application

Your Previous Education

Your college plans

Military status

Demographic information

Application Submission

Helpful links for College Guest Students

Contact

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Annual Security and Fire Safety Report notice

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