Go to Main Content

State Fair Community College

 

HELP | EXIT

Tell Us About Yourself

 

Transparent Image
Information We appreciate your interest in SFCC. Please complete and submit the following form to provide us with information about yourself.
Click Here to View the SFCC Course Catalog

Required - indicates a required field.
 
Prefix:
First Name: Required
Middle Name:
Last Name: Required
Suffix:
Nickname:

Primary Address
Valid From: Month Day Year (YYYY)
Until: Month Day Year (YYYY)
Address Line 1:Required
Address Line 2:
Address Line 3:
City:Required
State or Province:
ZIP or Postal Code:
County:
Nation:
Phone Number: (  x 
 (Area)   Number        Extension
International Access Code:

 
E-mail Address:Required
Verify E-mail Address:Required

 
Date of Birth:Required Month Day Year (YYYY)

 
U.S. Social Security Number:Required (999999999 or 999-99-9999)

 
Gender:Required Male Female Not Specified

 
Citizenship:Required

 
Ethnicity:

Note What is your ethnicity?

Hispanic or Latino
Not Hispanic or Latino

Note Select one or more races to indicate what you consider yourself to be.

American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White
Alaskan Native
American Indian
Asian
African American
Native Hawaiian
Other Pacific Islander
Caucasian

Information Check the Home School box or click on Look up High School Code. Provide your graduation date or anticipated completion date.

 
Home Schooled (check for yes):
OR
High School Code:
High School Name:Required
Graduation Date: Month Day Year (YYYY)

Transparent Image
Skip to top of page
Release: 8.5.4