SCC Application for Admission
 

Mail to: P.O. Box 4386 • Spartanburg, S.C.  • Telephone: (864) 592-4800 • Fax: (864) 592-4564 • Toll Free: 1-866-591-3700 • Voice and TDD: (864) 592-4812
Please print in dark ink or type. Return this completed application to Spartanburg Community College.
 

Check one of the following that best describes your application:
           
  New student - never attended college other than college
courses taken in high school.		 Transient student - enrolled at another institution and taking SCC courses
to transfer to home institution.
  Former student - attended SCC previously. Special (non-degree) student - not seeking an SCC degree, diploma or certificate.
  Transfer student - attended other college(s) or universities. Early admission student - planning to take courses while enrolled in high school.

Educational Plans
 
Program of study        
I will enroll in the following term:                                        
I plan to attend:    
My academic objective is:
The most important reason I am attending Spartanburg Community College is to:
 

Personal Information
 
Name:          
 

Last

First

Middle

 Maiden or Other  
Address:

residence-

    
   

Street/Number

 City State Zip

County

  
 

mailing-

    
   

Street/Number

 City State Zip

County

  
Social Security Number:   -  -                                 Is English Your Native Language? Yes  No
         
Telephone Numbers:        
  Home Work Cell  
 
Date of Birth (mm/dd/yyyy):                                      E-mail Address:        
Ethnicity:   Gender:    
           
Have either of your parents graduated from a four-year college or university? 
In case of emergency, contact - Name:                Relationship:              
Address:                  Phone:             Home:                 Work:              

Citizenship Information
 
Are you a U.S. citizen?      If yes, skip shaded area below.

If you are NOT a U.S. citizen, please answer this shaded section:

If you are not a U.S. citizen, select country of citizenship:

If you are not a U.S. citizen, do you have a visa/passport?
If yes, immigration status/visa type (specify at time of application):      
A copy of official document  verifying your immigration status must be presented.
  
Are you a permanent resident?      If yes, you must present a copy of official document verifying your permanent residency status.
Are you requesting an I-20 form for a student visa?     If yes, country of birth:

REQUIRED: the following information is required in order to determine residency status for tuition and fee purposes. 
Are you: Independent Dependent (claimed as an exemption on someone else's federal tax return)
 
Are you, or the person whom you are dependent for federal tax purposes, a resident of South Carolina? Yes  No
  If yes, list the date your present stay in South Carolina began (mm/yyyy):
    If no, what is the state of legal residence of you or the person whom you are dependent for federal tax purposes?
     
What is your county of residence? Date present stay in that county began (mm/yyyy):
             

Educational History
 
High School Information
I received (check one): 1. High school diploma 4. I did not graduate.  
  2. Certificate of completion or attendance 5. I am currently attending high school. Grade in which enrolled:                                                               
  3. GED                                                              (date received (mm/yyyy) 6. Other:                                                                   
Note: You must have a final, official transcript sent to the SCC admissions office from all high schools that you have attended.  
 
Last High School Attended