Application for Early Admission

What type of enrollment are you applying for? *

High School guest student
Dual enrollment student

Student takes college course(s) while still enrolled in high school. Student pays for tuition and fees, as well as books and materials needed for the course(s).

New high school guest students must complete this online application and submit a printed copy of the completed authorization form (found at the end of this application, also found at sc4.edu/counselors). Returning high school guest students complete only the authorization form. The form does not need to be submitted to the high school or signed by a school official if the student is a high school guest. If the student is younger than age 18 when applying, the authorization must be signed by a parent or guardian.

For students who are not high school age (middle school or younger), admission may be granted on a conditional, semester-by-semester basis. Contact the Registrar's office at 810-989-5550 for details.

Student takes college course(s) while still enrolled in high school. Student’s high school pays for all or a portion of the tuition costs associated with course(s). The student pays for any tuition fees, books, and materials not covered by the high school. Completed college course(s) may count toward high school graduation credit and college credit.

New dual enrollment students must complete this online application and submit a printed copy of the completed authorization form (found at the end of this application, also found at sc4.edu/high-school-counselors). Returning dual enrollment students complete only the authorization form. The completed form must be submitted to the high school and signed by a principal/school official. If the student is younger than age 18 when applying, the authorization must be signed by a parent or guardian.

For students who are not high school age (middle school or younger), admission may be granted on a conditional, semester-by-semester basis. Contact the Registrar’s office at 810-989-5550 for details.

New dual enrollment students must complete this online application and submit a printed copy of the completed authorization form (found at the end of this application, also found at sc4.edu/high-school-counselors). Returning dual enrollment students complete only the authorization form. The completed form must be submitted to the high school and signed by a principal/school official. If the student is younger than age 18 when applying, the authorization must be signed by a parent or guardian. For students who are not high school age (middle school or younger), admission may be granted on a conditional, semester-by-semester basis. Contact the Registrar’s office at (810) 989-5550 for details.

Early Admission Application

Name *

First

Middle

Last

Suffix

Jr., Sr., III, etc.

Former name

if applicable

Chosen first name

Chosen middle name

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

Primary phone *

Alternate phone

Email *

UIC Number

Contact your high school counselor for your unique identification code.

Social Security number

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

Date of birth *//

Demographic information

This information 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 *

Male
Female
Prefer not to disclose

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

Yes
No

Dual enrollment or high school guest information

The following questions pertain to your interest in becoming a dual-enrolled or high school guest student at SC4.

What semester do you want to begin dual enrollment or high school guest classes at SC4? *

Program of study *

Don't worry, this can be switched after speaking with advisors.

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 is an Health Sciences certificate program 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 an Health Sciences Associate degree program (MRI, Nursing, Radtech 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.

What high school are you attending? *

(If you are homeschooled, enter "Homeschool".)

City and state of your high school *

(If you are homeschooled, enter your home city and state.)

Grade in which you are currently enrolled: *

Anticipated date of graduation *

Are you applying to one of these Early/Middle College programs or a program specific to particular school district?

Blue Water Middle College Academy (BWMCA)
Career and Technical Middle College (CTMC)
Croswell-Lexington Middle College (CL5)
Sanilac Career Center Baja Program
No, I'm not applying to a specialized program

*Additional steps required to be accepted to Early/Middle College programs. Please contact your high school for more information.

Conferring of Educational Credentials *

I agree
I decline

By checking this box, I give my consent to St. Clair 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.

High School Students