Application for Admission

Welcome to Cloud County Community College. Begin your journey by submitting your application today!

Cloud County Community College does not discriminate in admission or access to, or treatment in employment in its services programs or activities on the basis of race, color, national origin, sex (including pregnancy, sexual orientation, or gender identity), religion, age, disability, or veteran status.

Name Information

Please be advised that we are currently experiencing difficulties emailing individuals with iCloud.com email addresses.

First Name

Middle Name

Last Name

Preferred First name

What is your birth/maiden last name?

Gender

Birth Date

SSN

Email Address

Confirm Email Address

Citizenship Information

Citizen Of

If you are here on a visa, what type of visa is it?

Do either your mother or father have a bachelor's degree (4-year degree)?

Race Information

Race (Choose one or more)

Ethnicity

Are you Active Military/Veteran or a dependent?

Legal/Permanent Address

Do you reside outside of the United States?

Address Line 1

Address Line 2

Zip Code

City

State

County (Kansas Only)

I have been a resident of this state since (MM/DD/YYYY)

Country

Primary Phone Number

Text Messaging

In order for Cloud County to send you text messages, we must first be given permission to do so and must also know who your cell phone provider is.

Does Cloud County Community College have permission to text you regarding important information? (Your standard text messaging rates apply)

Cell phone

Which cell phone service provider do you use?

If you selected "Other", please enter your cell phone provider

Military Service

Veteran of

Branch

State

Will you be receiving Veterans benefits?

Do you qualify for benefits as:

Academic Information

Where will you primarily be attending classes?

Are you interested in living in on-campus housing?

Please select the option that best describes you:

*To be eligible for Financial Aid, you must be seeking a degree offered at CCCC.  

What year do you plan to begin your studies?

What term do you plan to begin your studies?

What type of student will you be?

What is your area of interest?

Emergency Contact Information

Emergency Contact Name

Phone Number

Zip Code

Address Line 1

City

State

Country

School Information

Please provide your high school information (with graduation year) and any previous college you have attended. 

Select the state, city & institution.  If your school is not listed, select “School Not Listed” & type the name into the “Name of Institution” field. 

•  If you have a GED or homeschool background, follow the directions listed above for schools not listed. 

• If your institution is located outside of the United States, select “Out of Country” and type the name in the “Name of Institution” field. 

Once you have entered your school information, select “Save this school” and repeat the steps until all schools have been entered. 

State of Institution

City of Institution

Institution

Name of Institution

Year of graduation (HS only)

Extracurricular Activities

Use the dropdown below to choose extracurricular activities that interest you.

Activity:

Activity:

Use the "submit" button to finalize your application.

Your application will be processed in 1-2 business days. Be sure to check your email regularly. All communication from the Admissions Team will come via email.

We look forward to helping you achieve your educational goals!