First Name: M.I. Last Name:
Mailing Address:
City:   State:  Zip:
Phone Number:   Alternate Phone Number:
SSN:   Email Address:
Optional: (The below [*] information will be used for reporting purposes only.)
*Birth Date: (Format: 01/01/01)   *Gender: Male Female

*Ethnic Group:
American Indian or Alaskan Native
Asian or Pacific Islander
Black or African American
Caucasian
Hispanic
Other

Will you be requesting transfer credit?
Yes   No

Do you intend to live on campus?
Yes   No

Will you be requesting VA Benefits?
Yes   No

Will you be applying for on campus childcare?
Yes   No

I am applying for admissions to the term beginning:
Summer Fall Spring    Year: 20

I plan to attend:
Full Time Part Time

Maine Resident:
A person is considered a Maine resident if he/she, at the time of admission to the College, has been living in Maine as a permanent resident for at least one year.
Yes   No

Have you ever been convicted of a felony?
Yes   No  (If yes, please explain and attach to form)

Are You a U.S. Citizen?
Yes   No

If no, will you need WCCC to issue an I-20 form for you to get an F-1 or M-1 student visa?
Yes   No

Do you wish to be considered for a tuition reduction under the New England Regional Student Program? (Residents of CT, MA, NH, RI, VT Only)
Yes   No

Please check your desired program of study.

Associate in Applied Science
Business Management
Computer Support Specialist w/ spec. Networking
Early Childhood Education
General Technology
Mechanical Technology w/ specialization in:
      Passenger Vehicle Service
      Engine Specialist (Gasoline and Diesel)
      Equipment Maintenance and Repair
      Equipment Operations and Maintenance
Medical Assisting
Trade and Technical Occupations
Workplace Technology

Associate in Arts
Liberal Studies

Associate in Science
Early Childhood Education

Diploma
Boatbuilding Technology
Residential and Commercial Electricity

Certificate
Adventure Recreation and Tourism
Automotive Technology
Culinary & Baking
Early Childhood Education
Engine Specialist
Entrepreneurship
Heating Technology
Heavy Equipment Maintenance Technology
Heavy Equipment Operation Technology
Medical Office Technology
Plumbing Technology
Welding Technology
Wooden Boatbuilding

I have/will have a(n):
High School Diploma   Adult Education Diploma   GED

Name of H.S.:   City:   State:

Did You Attend a Vocational Center?
Yes   No

If Yes, Name of Center:
Vocational Center Program:
Guidance Counselor:

Have you ever attended Washington County Community College (WCTC or WCVTI)?
Yes   No

If Yes, Year(s) attended:

Complete this section ONLY if you have attended another College or University.

Name of College/University (1):
City:   State:
Name of College/University (2):
City:   State:

I, , a future student at Washington County Community College, hereby authorize Washington County Community College to request the following information on my behalf.

Immunization Records:

(Name of Institution)

High School/GED Transcript:

(Name of Institution)

College Transcripts:

(Name of Institution)

By submitting this online application:
I certify that I am 18 years of age or older and that all the information stated on this application is accurate and complete. I agree to allow officials at WCCC to contact the above-mentioned institutions for my records.

Note: If you are not 18 years of age, you will need a parent or gaurdian signature. Please download (click here to begin download) and fill out the printed Application for Admission and submit application with other required forms.


Non-Discrimination Policy
Washington County Community College is an equal opportunity/affirmative action institution and employer. For more information, please call 207.454.1076.