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College Application

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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
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First Name
 

Middle Name
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Last Name
 

Former / Maiden Name
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Email Address
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Confirm Email Address
 
  

Address Information
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Street
 

P.O. Box
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City
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State
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Zip Code
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County
 

Country
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.
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How long have you lived at this address?
 

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

Gender
 

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
 

Ethnicity

 

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).
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1. Admissions Status
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2. Which Location do you plan to attend?
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3. I plan to attend
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4. Declared Major

Information regarding academic programs is available at http://elog.pennhighlands.edu 

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5. I plan to enroll in the following term
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6. I plan to enroll in the following year
 

Reason for attending Pennsylvania Highlands Community College
 
  

High School Information
 

Name of High School
 

City
 

State
 

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
 

City
 

State
 

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
 

Institution
 

City
 

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
 
  

Completion

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.
 

Signature
 

Date
 
  
 
  
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