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College Application

Admissions Procedure
  1. Degree seeking students must provide an official high school transcript or GED scores to be accepted to the college.  Students who apply during their senior year of high school must have an official final transcript sent upon graduation.

  2. Applicants with prior college credit must submit official transcripts from all prior institutions attended.

  3. Non-degree seeking students may also need to provide a high school transcript, GED scores, and/or college transcripts to show that they have met certain prerequisite coursework.


Online Campus Programs
  • Pennsylvania Highlands Community College online degree programs are available only to residents of the state of Pennsylvania.
  • Online campus students must qualify for college-ready status in writing, reading, and math either by placement test scores or SAT/ACT scores.


NOTE: When continuing to the next page of the form use the Next Button to continue to the next page or the Previous Button to return to a previous page. Do not use the browsers Forward > or Backward < buttons, you will receive an error message and will need to begin over.


Student Information


First Name


Middle Name


Last Name


Former / Maiden Name


Email Address


Confirm Email Address


Address Information




P.O. Box






Zip Code





Residency Requirements

Tuition rates at Pennsylvania Highlands Community College are established by a student's residency. The College's Residency Policy can be found in the College Catalog.


How long have you lived at this address?


If less than one year, enter prior county and state of residence:


Primary Phone Number


Cellular Phone Number


Work Phone Number


Demographic Information

The completion of the following information is voluntary and optional. It will be used to comply with Federal reporting and has no effect on admission to the College. Pennsylvania Highlands Community College is committed to the principle of equal education for all students without regard to race, national origin, marital status, creed, gender, age, or handicap.


Are you the first generation in your family to attend college?




Birth Date


Social Security Number

Note: In order receive Financial Aid, you will need to provide your Social Security Number.

Citizenship Information


Country of Citizenship


Citizenship Status

Note: If you are not a U.S. citizen or permanent resident, you will be required to submit a copy of your VISA to the Admissions Office.

Veteran Information


Veteran Status

Race Information




Race (Choose 1 or more)


Educational Goals

Note: Non-Degree seeking students are not eligible to receive financial aid; and are permitted to enroll in a maximum of 11 credits (Part-Time status).


1. Admissions Status


2. Which Location do you plan to attend?


3. I plan to attend


4. Declared Major

Information regarding academic programs is available at 


5. I plan to enroll in the following term


6. I plan to enroll in the following year


Reason for attending Pennsylvania Highlands Community College


High School Information


Name of High School






Zip Code

Graduation Information


Did you receive a High School Diploma?


Year of high school graduation


I have not received a High School Diploma because

GED Information - Complete if you did not graduate from High School


Have you earned a GED (General Education Diploma)?


Date GED Received


CTC/Vo-Tech School Information

Note: Please complete the following information if you attended a Career and Technical Center (CTC) or a Vo-Tech School.


Name of CTC/Vo-Tech School






Zip Code

Certificate Information


Did you receive a Certificate?


(IF YES) Year of CTC/Vo-Tech school completion


(IF NO) I have not received a Certificate because


College/Trade School Information

Please list in chronological order any colleges or technical schools that you have attended.

To add you information:

  1. Select State of Institution
  2. Select Institution
  3. Select Degree Earned
  4. Click Save School Information

If your institution is not listed:

  1. Select State of Institution
  2. In the Institution drop down menu, select "School not listed"
  3. Enter the Name of Institution
  4. Select Degree Earned
  5. Click Save School Information

Repeat steps above to for each institution

Name of InstitutionYear of GraduationDegree Earned

State of Institution


Name of Institution






Begin Date


End Date


Zip Code


Program of Study/Major


Year of Graduation


Degree Earned


Note: Save School Information before clicking on the "Next" button below


Emergency Contact Information


Name of Person to Contact in Case of an Emergency


Contact Phone Number



How Did you Hear about Pennsylvania Highlands?


How Did you Hear about Pennsylvania Highlands?


Electronic Communication

The College may communicate with you in a variety of ways including email and text messaging. Please indicate below if you would like to opt out of receiving text and/or email messages from Pennsylvania Highlands Community College.


I wish to receive emails from Pennsylvania Highlands Community College.


I wish to receive text messages from Pennsylvania Highlands Community College.


Sign and Submit

By entering my name, I acknowledge that I have made application to Pennsylvania Highlands Community College and certify that the information provided on the application is true to the best of my knowledge.





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