MONTCALM COMMUNITY COLLEGE
APPLICATION FOR ADMISSION

PRINT THIS FORM.  COMPLETE ALL INFORMATION REQUESTED BELOW AND MAIL OR TAKE TO MCC ENROLLMENT SERVICES (2800 College Drive, Sidney, MI   48885-9723; 989-328-2111 or toll-free 1-877-328-2111; e-mail - admissions@montcalm.edu)

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Academic Information

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

E- MAIL ADDRESS _______________________________________________________________

School district in which you reside:

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
1103 Associate of Science
1104 Associate of Liberal Studies
1101 General Studies

1101R Radiography
1101S Diagnostic Medical Sonography
1101V DMS-Vascular Technology

Associate Degree inApplied Arts and Sciences
1211 Accounting
1212 Business Administration
1220 Business Information Systems
1355 Computer Repair
1266 Cosmetology Management
1244 Criminal Justice/Corrections
1248 Criminal Justice/General
1249 Early Childhood Development
1511 Education Paraprofessional
1352 ElectronicsTechnology
1453 EMT (Paramedic)
1232 Executive Secretary
1332 Industrial Technology
1236 Information Systems
1234 Medical Information Systems
110R Nursing (Registered)
1214 Small Business Development Management
1216 Small Business Development - Residential Construction Management
1322 Technical Drafting and Design

Certificates
1354 Computer Repair
1261 Cosmetology
1247 Criminal Justice/Corrections
1353 Customer Energy Specialist
1237 Information Processing Assistant
1333 Machine Tool Operation
1414 Medical Assistant
110P Nursing (Practical)
1231 Office Assistant
1213 Small Business Develeopment/Managment
1215 Small Business Development - Residential Construction Management
1321 Technical Drafting
1334 Welding Technology

Training Programs
(limited financial aid available)
 1452 Allied Health
1370 Apprenticeship (see specific company requirements)

1370C CNC Machinist
1370E Electrician
1370I Layout Inspector
1370A Machinist
1379F Maintenance Electrician
1370D Maintenance Machine Repair
1370B Maintenance Machinist
1370N Maintenance Mechanic
1370M Millwright
1370G Precision Grinder
1370L Plastic Injection Mold Maker
1370P Plumber/Pipefitter
1370T Tool & Die Design
1370K Tool & Die Maker

1245 Child Development Associate (CDA)
1243 Corrections Officer(15 cr.)
1455 Emergency Medical Technician
1417 Long-Term Care Nurse Assistant
1457 Medical First Responder
1418 Medical Insurance & Coding
1413 Nurse Assistant
1419 Phlebotomy

Other
(limited financial aid resources available)
8000 Dual Enrollment (high school)
1000 Selected courses/non-degree