Login

User Name Password

Forgot My Password

High School Application for Admission Not for Incoming College Freshman

To submit an application to our school, please complete the following form and select Submit Application.

= Required

Personal Information

Please use your Full Legal Name.

Legal First Name
Middle Name
Legal Last Name
Suffix
Nickname
Maiden or Other Name
Date of Birth
Social Security Number
Gender

Address Information

Please enter your Primary address first. If you have an out of state address choose Out-of-State for County.

Addresses

Add Another Address

Address Type
Address Line 1
City
State/Province
Postal Code
County
Country

Contact Information

Please enter your primary email address and phone number(s). When entering your phone number, please do not use dashes or punctuations.

E-mail Address

Phone Numbers (Exclude Country Code)

Phone Type	Country	Phone Number	Primary

Add More

Race Information

You are NOT required to provide Race Information. By providing this information, you help to better serve future applicants and students.

Are you of Hispanic/Latino ethnicity or descent? Yes No

Select one or more races with which you identify yourself:
American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Citizenship Information

English is the primary language of instruction at HCC. All students whose primary language is not English must show proficiency in English before being admitted.

Primary Citizenship
Country of Birth
Primary Language

Academic Information

Please select your desired program from the list below.

Semester

Program

Program

Preferred Location

Select the Primary Location where you will attend the majority of your classes.

Education History

List full name of High School where you received or will receive your HS diploma.

Previous Schools

Add Another Degree
1. Anticipated or Actual Graduation Date
2. High School/GED/College
3. City
4. State
Institution Name

ETS Code

City

State

Country

Emergency Contacts

Please provide information for who can be contacted in case of an emergency.

Contacts

Add Another Contact
1. First Name
2. Last Name
3. Relationship
4. Phone Number

School Policy

To continue, please Read and Accept the Application Policy. Also, note by submitting an online application for admission to Highland Community College, I agree that I have received parental consent to enroll in college courses and accept the rules, regulations, and policies of Highland Community College.

Select "I accept" to confirm that you have read and fully understand the terms and conditions set forth in our Application Policy

Policy I do not accept I accept

Login

High School Application for Admission **Not for Incoming College Freshman**

Addresses

Previous Schools

Contacts

High School Application for Admission Not for Incoming College Freshman