Thank you for choosing to apply at Neosho County Community College.  If you have EVER submitted an application to NCCC in the past, you do NOT need to apply again!  Just email us at admissions@neosho.edu to verify and one of our specialists will assist you through the process.

SSN

First Name

Last Name

Middle Initial

If you dont have a middle name put "none".

If you have a name that you prefer to use that is different from your legal first name please enter it here.

Maiden or previous last name

Email Address

Confirm Email Address

How do you prefer to be contacted?

How did you hear about us?

Mailing Address

City

State

Zip code

Country

Enter the phone number that we can most easily reach you at

Please enter your cell phone number

Birth Date

Gender

Current age

Ethnicity

Race (Choose one or more)

Are you an adult or out-of-school youth who has limited ability in speaking, reading, writing, or understanding English, and: (a) whose native language is a language other than English or (b) who lives in a family environment or community in which a language other than English is the dominant language?

Are you a single parent? A single parent is defined as an individual who (1) is unmarried or legally separated from a spouse; and (2)(i) has a minor child or children for which the parent has either custody or joint custody; or (ii) is pregnant.

Are you an out of workforce individual?  An out of workforce individual is a displaced homemaker (defined as an individual who has been providing unpaid services to family members in the home), or someone who is unemployed or underemployed and is experiencing difficulty in obtaining or upgrading employment.

Are you an individual or member of a family who lacks a fixed, regular, and adequate night time residence? (I.E. homeless)

Are you currently in or have aged out of the foster care system?

Are you a youth (under age 21) with active military parents?

Have either of your parent(s)/guardian(s) earned a degree from a 4-year college?

Please select the military veteran status option that applies to you

Please select the military connected status option that applies to you

Please select the military active status option that applies to you

Full name of your emergency contact

Phone number of your emergency contact

Address while attending Neosho County Community College if different than your Permanent Address

Mailing Address

City

State

Zip Code

Select your residency status

Select the country of your citizenship

Please select the answer that describes your current residency status

If you are a resident of Kansas please give us the date that you established residency in the county in which you reside.

If you are a resident of Kansas, select your county of residency.  If you are not a current resident of the State of Kansas, choose "Out of State"

If you are not a Kansas resident and will be enrolling in only online classes please select ONLINE ONLY.  

Please select your degree intention.

***To be eligible for Federal Aid, a student must be degree or certificate seeking***

Please select the answer that best describes your objectives for attending NCCC.

Please select your class load intention.

What campus are you planning on attending?

What do you intend to major in?

Select the year you plan to start.

Select the term you plan on starting in.

Please select the menu option that best describes your class when entering NCCC.

High School GPA:

High School Rank:

Name of the high school you attended (spell it out, do not abbreviate!!).  If you received a GED, please enter "GED'.

Year you graduated from high school or plan to graduate:

State in which your high school is located

City in which your high school is located.

[1]Name of the previous college you attended.

[1]Year you started attending this college.

[1]Year you stopped attending this college.

[1]State in which this college is located.

[1]City in which this college is located.

[2]Name of any other colleges you have previously attended.

[2]Year you started attending this college.

[2]Year you stopped attending this college.

[2]State in which this college is located.

[2]City in which this college is located.

[3]Name of any other colleges you have previously attended.

[3]Year you started attending this college.

[3]Year you stopped attending this college.

[3]State in which this college is located.

[3]City in which this college is located.

[4]Name of any other colleges you have previously attended.

[4]Year you started attending this college.

[4]Year you stopped attending this college.

[4]State in which this college is located.

[4]City in which this college is located.

By checking this box I acknowledge that I will be automatically enrolled in NCCC’s text messaging system and I can opt-out at any time by replying STOP to any messages or by contacting NCCCs helpdesk at help@neosho.edu.

Thank you for filling out an application with NCCC!