KELLOGG COMMUNITY COLLEGE
450 North Avenue • Battle Creek, MI. 49017 • 269.965.3931
Application for Admission





COLLEGES/UNIVERSITIES ATTENDED
Please list all institutions attended, other than Kellogg Community College. You may choose up to six institutions.
Please have all official transcripts sent directly to the KCC Records office for evaluation.



(first time in any college)
(prior KCC student)
(previous enrollment in any other college)










The following optional information is requested in order to provide information required by the Office of Civil Rights to assist in determining compliance with the Equal Opportunity Programs under the Civil Rights Act of 1964. It is not used in admission decisions.

 


Are you Hispanic or Latino?   

Select one or more as appropriate:


Kellogg Community College does not discriminate on the basis of race, religion, color, national origin, gender, marital status, sexual orientation, age, or disability in its programs, services, or activities. Direct inquiries regarding the nondiscrimination policies to either the Vice President for Instruction or the Director of Human Resources, 450 North Avenue, Battle Creek, MI 49017.

Signature
I certify that all given answers given to questions in this application are correct and complete to the best of my knowledge and hereby agree to abide by all the regulations of Kellogg Community College.

  (mm–dd–yyyy)