MONTCALM COMMUNITY COLLEGE
APPLICATION FOR ADMISSION

PRINT THIS FORM.  COMPLETE ALL INFORMATION REQUESTED BELOW AND MAIL. E_MAIL OR
TAKE TO MCC ENROLLMENT SERVICES (2800 College Drive, Sidney, MI 48885-9723).
If you have questions e-mail - admissions@montcalm.edu or call 989-328-1266

Click here for PDF version

Academic Information

NAME____________________________________________________________________________
                    Last (legal)                                                     First                                 Middle                             Maiden/Other
ADDRESS ________________________________________________________________________
                  Number &Street                                                             City                                              State         Zip Code
PHONE (_____) ________________________SOCIAL SECURITY #___________________________

E- MAIL ADDRESS _______________________________________________________________

School district you reside in:

q Carson City/Crystal

q Central Montcalm

q Greenville

q Lakeview

q Montabella

q Tri-County

q Vestaburg

q Other _____________________

Please provide a copy of your driver's license to verify residency.

You are:
q  a current high school student q  a high school graduate
q  an adult education high school graduate q  a GED recipient
q  a non-high school graduate/non-GED recipient  


Name of high school __________________________________________ Graduation year __________

GED Test ________________________________________________________________________
                                       Date                                                  Testing Location                                                    City and State

Please list the last college or technical school you attended.
An official transcript must be submitted to MCC for each institution you attended, even if no credits were earned.
__________________________________________________________________________________
Last institution attended                                                              City and State                                                      Dates attended

When do you wish to begin taking classes at Montcalm Community College?

q Fall 20__  (Aug.-Dec.)        q Spring 20____ (Jan.-May)         q Summer 20____ (June-Aug.)

In what program of study do you plan to enroll?
____________________________________________________ Code #_________________
Program Name (see below)

MCC offers a variety of activites for involvement beyond the classroom. Are you interested in participating or receiving information about any of the following:
q   Phi Theta Kappa International Honor Society q   Other events (ex: guest speakers, plays, cultural trips)
q   Campus clubs (ex: Drama, Art, Native American) q   Sports activities (ex: volleyball, fitness center)


Amount of education planned:
q  Classes Only q  Certificate or training q  Graduate degree
q  Associate degree q  Bachelor degree  

qVery sure                qFairly sure                     qNot sure

Are you considering trasferring to another school later?
q  Community or technical college q  4-year college transfer to: _________________
q  Other type of institution q  Not planning to transfer q  Undecided about transfer

Most important reason for attending this term:

q Learn skills to get new job q Learn skills to advance in job
q Transfer to 4-year college q Satisfy general education requirement
q Improve basic skills in writing, reading or math q Take course for personal interest
q Other__________________________________  

Career Goal ____________________________________________________________________________________
qVery sure                     qFairly sure                     qNot sure

If you have participated in Career Pathways, please indicate the pathway you are following:

q  Arts & Communications q  Human Services
q  Health Sciences q  Engineering/Manufacturing & Industrial Technology
q  Business, Management, Marketing & Technology q  Natural Resources & Agriscience

How did you first hear about Montcalm Community College? ___________________________________________________________

Would you like more information about evening child care? _ Yes _ No

It is the policy of Montcalm Community College that no person; on the basis of race, sex, color, religion, national origin or ancestry, age, marital status, height, weight, disability or Vietnam-era veteran status; shall be discriminated against in employment, educational programs, activities, or admissions.  In addition, arrangements can be made to ensure that the lack of English-language skills is not a barrier to admission or participation.

MCC Programs of Study

ASSOCIATE DEGREES
1102 Associate of Arts
1101 Associate of General Studies
1101S Diagnostic Medical Sonography
1101V DMS-Vascular Technology
1101R Radiography
1104 Associate of Liberal Studies
1103 Associate of Science


ASSOCIATE OF
APPLIED SCIENCE PROGRAMS
1211 Accounting
1331 Automotive Technology
12123 Business Administration/Marketing
12122 Business Administration/Management
12121 Business Administration/Entrepreneurship
1220 Business Information Systems
1355 Computer Repair
1266 Cosmetology Management
1244 Criminal Justice/Corrections
1248 Criminal Justice/General
1249 Early Childhood Development
1511 Educational Paraprofessional
1352 Electronics Technology
1332 Industrial Technology
1236 Information Systems
1384 Integrated Manufacturing Technology
1234 Medical Information Systems
110R Nursing (Registered)
1214 Small Business Development/ Management
1216 Small Business Development/Management -
Residential Construction Management
1322 Technical Drafting & Design


CERTIFICATES
1335 Automotive Maintenance Technology
1354 Computer Repair
1261 Cosmetology
1247 Criminal Justice/Corrections
1351 Electronics Technology
1237 Information Processing Assistant
1383 Integrated Manufacturing Technology
1333 Machine Tool Operation
1414 Medical Assistant
110P Nursing (Practical)
1213 Small Business Development/Management
1217 Small Business Development/Management - Automotive Technology
1215 Small Business Development/Management -
Residential Construction Management
1321 Technical Drafting
1334 Welding Technology


JOB TRAINING CERTIFICATES
(limited financial aid resources available)
1370 Apprenticeship Training
(must be arranged by the student’s place
of employment)
1339 Automotive Maintenance Technology
1339A Automotive Service
1339B Automotive Brake Systems
1339C Automotive Suspension & Steering
1339D Basic Automotive Electrical
1339E Advanced Automotive Electrical
1339F Automotive Electrical & Electronic Systems
1339G Automotive Engine Performance
1245 Child Development Associate (CDA)
1224 CIS Job Readiness
1243 Corrections Officer Training
1225 Digital Publishing & Presentation
1455 Emergency Medical Technician
12103 Entrepreneurship
12300 Health Care Revenue Cycle I
12301 Health Care Revenue Cycle II
1226 Input Productivity
1417 Long-Term Care Nurse Assistant
1413 Nurse Assistant
1227 Office Applications
1226 Professional Studies
1311 Residential Construction
12100 Retail
12101 Retail Management
12102 Supervision
1229 Web Design Specialist


OTHER
8000 Dual Enrollment (high school)
1000 Selected courses/non-degree