National Park Community College
www.npcc.edu
Application for Admission
 

It is recommended that you print this form in order to keep a copy for your files. If you do not want this information sent over the Internet you may print the form and mail it to:
National Park Community College
Office of  Admissions
101 College Drive
Hot Springs, AR  71913
This application is for
Full or Part-time?  
Online Application for Admission
Fill out all fields below.  Use the Tab key on your keyboard to move between fields. If some of the fields do not apply to you, do not enter any data.
NOTE: Do NOT press the Enter key while entering information! Please use the "Submit" button at bottom of form to submit your completed application - Thank You.


This is required information.

I. Identification Information

NOTE:  In order to apply electronically and/or receive financial aid, the applicant's Social Security number must be provided.  If you do not know your Social Security number, please obtain the correct number before completing the online application.

Social Security Number - -  
How did you learn about NPCC? Reason for enrollment?

 

II. Personal Demographic Information
       
   

Name

   
First Name 

    
Middle Initial

    
Last Name


 Suffix (Jr,Sr,III)
       


Preferred Name (optional)

   
Address
Current Address		 # of years (0-99)  -OR- # of months (0-11)
How long have you lived at this address?
       
 
City
  State		   
If less than 6 months, please list previous State or Arkansas County

       
 
County
Zipcode
  Country
       

 Permanent Address (if different)
       
 
City
State
Zip
       
Telephone   Number
Home Phone
(Example: 5015551234)		  
  Work Phone
  (Example: 5015551234)		  
       
E-mail Address  
Note:  This information is optional, however it is strongly advised that you provide your personal e-mail address if available.  If you intend to register for an online class, a personal e-mail address is necessary in order to contact you regarding login instructions.
       
Emergency contact information:  Please list name(s) and telephone number(s):
Name 
 Number 
Relationship 
     

Date of Birth


(MMDDYYYY)

 State of Birth

Gender

Are you a U.S. Citizen?* 

Are you in the U.S. legally? 

(If no, please call Student Services at 501-760-4364.)

 

   

Are you a single parent of a child 18 or under?

 

  

Are you a displaced homemaker (have not been in workplace for at least 5 yrs)?

 

*Due to additional paperwork required, International Students are not able to apply online at this time. Please contact the Registrar's office at (501) 760-4213 or (501) 760-4210 for application instructions. We look forward to assisting you with your educational goals.

 

III. Request for Confidential Information

The information requested below will be used for summary reports required by federal and state laws and regulations and to support institutional affirmative action efforts. It will not be used as a basis for admission or in a discriminatory manner. You will not be subjected to adverse treatment if you do not provide any of the requested information. National Park Community College provides academic accommodations as mandated by ADA and 504. Please contact the Student Support Services program at 760-4227 for disability assistance information.

I am interested in more information about accommodations

Ethnic Background

Is English your first language?

 

 

 

IV. Educational  Information

Seeking admission as:

What is your intended Degree Plan?

(Students who are not seeking a degree from National Park Community College need to contact the office of Financial Aid to determine eligibility for Federal/State Financial Aid.)

 

V. Educational Background

High School Name

Are you presently enrolled in High School?

HS Grad Year

CCMM  ( Example: 2007)
List other colleges and dates of attendance below:
Institution State/Country Dates Attended Degree Earned
Arkansas
Arkansas


You will need the documents below for full admission to NPCC:

Complete high school transript/GED (with date of graduation) Test Scores (ACT, SAT, ASSET OR COMPASS)
Official transcripts from all previous colleges Immunization records*
*Proof of immunization against measles and rubella is required by Arkansas state law of all applicants born after January 1, 1957 who are full-time students. Vaccines must have been received after the first birthday and January 1, 1968. All incoming freshmen must show proof of two measles (rubeola) and one German measles (rubella).
Official copies of high school and/or college and university transcripts along with ACT, COMPASS, ASSET and or other placement scores need to be mailed to NPCC.


By submitting this application, I affirm that the information is complete and correct.  I understand that submission of inaccurate information can be cause for terminating my enrollment at National Park Community College.

When you have completed the Online Application for Admission, click the "Submit" button ONE TIME ONLY.

  

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This page last updated 07/01/2008