F-1 Student LLCC Application

Planned term of entry (required): Select entry term.

Complete legal name (required):

Last: Enter your last name. First: Enter your first name. M.I.:

Complete legal permanent address (required):

Street address, apt or P.O. box number:
Enter your address.

Postal Code:

Email: Please enter a valid email address.

Phone:

Birth date (required)(mm/dd/yyyy): Enter your birth date mm/dd/yyyy.Birth date must be entered as mm/dd/yyyy.


Please select one or more of the following racial categories to describe yourself:






Program/field of study: Select your program of study here. Note: Students still in high school (pre-college) for another 1-2 years must select "UNDECLARED" as major.

  • Transfer degrees: Associate in Arts (AA), Associate in Science (AS), Associate in Arts in Teaching (AAT), Associate in Fine Arts (AFA) and Associate in Enginnering Science (AES).
  • These programs require special admissions, please contact an Academic Advisor for information: Accelerated Associate in Arts Degree (ASAP), Associate in Fine Arts (AFA), Associate in Engineering Science (AES) and Allied Health Programs (Career and Technical).
  • Non-transfer, Career and Technical degrees: Associate in Applied Science (AAS) Degree (Career and Technical). Associate in General Education (AGE) Degree (Non-Transferable).
  • Certificates (Career and Technical): Certificate of Achievement (CA) (more than 30 hours), Certificate of Completion (CC) (30 hours or fewer).

Education goals, please select one:







Certificate, degree objective, please select one:

Admission status, please select one:







Indicate highest degree earned (select one):


Military status, please check one:

Has either of your parents attended college?

Has either of your parents completed a four-year (bachelor's) degree?

Please select your primary racial/ethnic group:






IMPORTANT: Clicking 'Submit Admissions Worksheet' will redirect you to detailed information on important enrollment procedures. This will be your only notice of your responsibilities and next steps in your enrollment process.

If you are not redirected to the 'Enrollment Procedures' page please scroll to the top of this form and verify that you have completed all required fields. If you are still having problems call LLCC Admissions 217-786-2298 ex:5