Admissions Application

Allen Community College

If you are an International Student, please do not use this application. Go back to the Admissions Home Page and select the International Student Admissions Application.

If you are completing this application on behalf of your child, please remember to input their information and not your own.

Incomplete applications will not be processed.

Name Information

First Name (Legal)

Last Name (Legal)

Suffix

Preferred First Name

Maiden/Birth Last Name

Birth Date

Social Security Number

Gender

Pronouns

Other Information

Have you ever been convicted of a felony?

Is English your primary language? 

English is the primary language of instruction at Allen. All students whose primary language is not English, must show proficiency in English.

Do you have a documented learning or physical disability?

Have either of your parents graduated from a college or university?

The information below is being requested solely for reporting purposes to federal and state agencies and academic accrediting associations. Responses are optional.

Citizenship Information

Citizenship Status

If you are a Non US Resident, please go back to the Applicants tab and complete the International Application for Admission.

Card Number

Card Issued Date

Please select immigration status (defined here).

Birth Country

Country of Citizenship

Race Information

Race (Choose one or more)

Ethnicity

Are you a member of an indigenous people? (see list here)

Military Information

Do you have any military affiliation?

Are you a veteran?

(if requesting benefits, you must submit a military transcript)

Are you Active Duty?

Are you a veteran's spouse or dependent of a disabled veteran?

Are you in the National Guard?

Are you in the Reserves?

Are you receiving Veterans Benefits?

If yes, Veteran's Benefits Chapter?

Candidacy Information

What year do you plan to begin your studies?

What term do you plan to begin your studies?

Which describes your entrance status?

I am currently enrolled in High School.

What type of student will you be?

Choose a program of study.

Where do you plan to take classes?

Choose one of the following options that best describes your education goals? 

Where will you be living during your enrollment?

Contact Information

Do you reside outside of the United States?

Permanent Address:

Address Line 1

Address Line 2

City

State

Zip Code

County

Country

Is your Mailing Address different from your Permanent Address?

Address Line 1

Address Line 2

City

State

Zip Code

Mobile Phone Number

Other Phone Number

Email Address

Confirm Email Address

Parent Email Address

Parent email is optional unless applicant is under age 18 (see message by submit button). By supplying Parent Email here, Parent authorizes the College to email them messages.

Emergency Contact Information

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

Emergency Contact Relationship

Kansas Statute - TB Screening

Kansas statute requires all students complete a screening for tuberculosis before beginning their first semester. The results of this screening will not be used to determine admission to Allen Community College.

This information will not be provided to the admissions office and will not be used to determine acceptance. 

Do you have any of the following symptoms; lasting cough, coughing up blood, fatigue, fever, loss of appetite, or weight loss?

Have you been diagnosed with active TB?

Have you been in contact with a person who has been diagnosed with active TB?

Have you traveled, resided in for more than 3 months, or was born in a country other than the United States?

If yes, which country?

School Information

Please indicate your current status

Were you homeschooled?

GED Test Date

State of GED Program

Please list all high schools that you have attended. 

If you do not see your school in the list, please select School Not Listed and type in the name of the school.

State of Institution

Institution

Name of Institution

Degree Earned

High School Graduation Date (choose approximate date)

Click "Add to List" to add the school to the list below. You can add as many schools as needed. Please list any schools you've attended.

Have you attended any college or universities other than Allen County Community College?

Please list all college/universities that you have attended. 

If you do not see your school in the list, please select School Not Listed and type in the name of the school.

State of Institution

Institution

Name of Institution

Click "Add to List" to add the school to the list below. You can add as many schools as needed. Please list any schools you've attended.

Digital Signature

If applicant is under 18 years of age, enter Parent/Guardian Name:

Parent Full Name

We're so excited for you to become a student! How did you hear about Allen?

I agree I have read and understand the information on each of the sites listed above.