North Central Kansas Technical College
Online Education - Application for Admissions Form


Directions:
1. Please complete all questions as completely and accurately as possible
2. Submit this application. Starting July 1, 2010 a $50 application fee will be added to your enrollment charges.

The North Central Kansas Technical College does not discriminate on the basis of sex, race, color, religion, national origin, age, handicap or marital status in admission or access to, or treatment of, or employment in its programs and activities. If you have questions regarding the below, please contact the NCKTC Dean of Student Services (1.800.658.4655).

Admissions Requirements:
The information furnished to the college will not be used to deny admission but is needed for reporting purposes. Please review the following Admission requirements before proceeding to the Application for Admissions Form. High School Graduates, or those who hold a High School Equivalency Diploma, are admitted without reservation after having the following on file with the Registrar's Office:

1. ACT, ASSET/COMPASS, or SAT Scores.
2. When applicable, a transcript of prior college hours.

High School students may enroll as special students if they have earned high school junior status and have written permission from their high school principal or counselor. If you have further questions, please contact the Registrar's Office.

Persons not meeting the above requirements must contact the Dean of Instructions prior to enrollment.

* Indicates the question is required to submit the form.


 
*Today's date
*Academic Enrollment Term
Personal Information
*Last name
*First name
Middle Initial
Maiden Name
*Email address
Note: Your E-mail address must be accurate as you will receive confirmation at this address.
*Telephone Number
* Cell Phone Number
*Mailing Address
*City
*State
*Zip
Social Security #
Date of Birth
Age
Education
High School Last Attended
City State
Graduate?    Year of Graduation  
If you did NOT graduate from high school, do you have a GED?      Year Obtained  
Associate Degree College State: Year:
Bachelor Degree College State: Year:
Masters Degree College State: Year:
Doctorate Degree College State: Year:
Current or Last Enrollment State: Year:
Demographics
Gender
Marital Status
Are you a US Citizen?
Are you a Kansas Resident?
Are you a registered voter?
Do you have a driver's license?
Are you active-duty military?
Are you a military dependent?
Are you a Veteran?
   
Are you a first-time college student?
Are you a former NCKTC student?
Are you transferring from another college?
Are you a special student(limited hours)?
Do you plan to earn a degree from NCKTC?
Will you transfer after receiving your degree?
   
Ethnic Group:
Race:
Father's Education Level:
Mother's Education Level:
 
Please review the information above and make sure that the information is accurate and up-to-date.

Once this information is submitted it will take at least three business days to process. You may proceed to submit the enrollment form but understand that the admissions application must be processed first before enrollment can be processed.