CCCC Application for Admission
Welcome to Cloud County Community College! Begin your journey by submitting your application today!
Preferred First name
What is your birth/maiden last name?
Confirm Email Address
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 (Choose one or more)
Are you Active Military/Veteran or a dependent?
Do you reside outside of the United States?
Address Line 1
Address Line 2
County (Kansas Only)
I have been a resident of this state since (MM/DD/YYYY)
Primary Phone Number
In order for Cloud County to send you text messages, we much 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)
Which cell phone service provider do you use?
If you selected "Other", please enter your cell phone provider
Will you be receiving Veterans benefits?
Do you qualify for benefits as:
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 field of study?
Emergency Contact Name
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.
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
Name of Institution
Year of graduation (HS only)
Use the dropdown below to choose extracurricular activities that interest you.
Use the "submit" button to finalize your application.