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Admissions Application 2019 9.20.19.Indd Admissions Oce One Seahawk Drive North East, MD 21901 OFFICE USE ONLY CECIL COLLEGE 410-287-1006 Student ID#: __________ Processed by: __________ Date: __________ ADMISSIONS APPLICATION [email protected] 1. NAME Last: ______________________________________________ First: ___________________________________________ Middle: ________________________________ Jr. Sr. III: ________ Prior/Other Last Name: _________________________________________ Preferred First Name: _____________________________________________ Please note: Students may identify themselves with a preferred rst name in addition to their legal name. The preferred rst name will be on the student schedule, ID card, instructor’s roster and Blackboard. Students’ educational records such as transcripts that require legal name will not be changed to preferred name. 4. GENDER: 2. DATE OF BIRTH: _________________________________ 3. SOCIAL SECURITY NUMBER: ________-________-________ ☐ Male ☐ Female ☐ Other MM - DD - YYYY 5. PERMANENT ADDRESS (P.O. Box is not accepted as a permanent address) House/Apt# and Street: _______________________________________________________ City: ____________________________________ State: ______ Zip: __________ Have you lived at this residence for three (3) months or longer? ☐ Yes ☐ No If no, date of Cecil Co. residency: ________/________/________ 6. RESIDENCY (County of Residence) ☐ Cecil ☐ Kent ☐ Harford ☐ Other MD County ☐ Out of State 7. TELEPHONE NUMBERS Home: __________________________________________ Cell: __________________________________________ Work: __________________________________________ 8. EMAIL ADDRESS: __________________________________________________________________________________ 9. MILITARY SERVICE (If applicable, select one) 12. CITIZENSHIP STATUS (Select one) ☐ Veteran ☐ Active Duty ☐ Spouse or dependent of veteran/active duty ☐ Reserve Duty ☐ U.S. Citizen ☐ Permanent Resident ☐ Non-U.S. Citizen (Resident Alien/Foreign) 10. ETHNICITY (Select one) 11. RACE (Select one or more of the following) Country of Citizenship: _________________________________ Hispanic/Latino ☐ American Indian or Alaska Native ☐ Black or African American ☐ Type of Visa: (If you are a non-U.S. Citizen) ☐ Not Hispanic/Latino ☐ White ☐ Asian ☐ Native Hawaiian or Other Pacic Islander ____________________________________________________ Ethnicity/Race questions are used by the U.S. Department of Education. The information is collected solely for administrative purposes. If you selected Non-Resident Alien or Permanent Resident, call 443-674-1892 for verication and to proceed with admission. See reverse for Ethnicity/Race denitions. See reverse for U.S. Citizenship and Immigrant Service denitions. 13. Current or most recent high school attended: ☐ Bohemia Manor High School ☐ North East High School ☐ Tome School ☐ GED: Maryland ☐ Other Maryland High School ☐ Elkton High School ☐ Perryville High School ☐ Tri-State Christian Academy ☐ GED: Out of State Name: ____________________________________ ☐ Lighthouse Academy ☐ Rising Sun High School ☐ West Nottingham Academy ☐ Home Schooled ☐ Out of State High School Name: ____________________________________ State: _________ 14. High school or GED graduation (or anticipated) date: (Use the 15th if you do not know the date of your graduation) ______________________________ MM - DD - YYYY 16. What is your immediate reason for attending Cecil College? ☐ Obtain an Associate Degree or Certicate ☐ Prepare to transfer to a four-year college ☐ Enroll in an early access program for high school students ☐ Update job skills ☐ Prepare for immediate entry into a career ☐ Transfer credits back to a four-year college 17. What are your interests? (Check all that apply) ☐ Athletics ☐ Honors Society ☐ Leadership Opportunities ☐ Volunteer Programs/ Service Learning ☐ Clubs/ Organizations ☐ Internships ☐ Student Ambassador Program ☐ Work Study 18. Calendar year and term you plan to start Cecil College Year: ___________________ ☐ Fall ☐ Spring ☐ Summer Continued on reverse 19. Degree or Certicate of Study (Please use the four-letter code in parentheses following degrees listed below.) Degree or Certicate: ______ ______ ______ ______ ASSOCIATE DEGREES AND CERTIFICATE PROGRAMS ART, DESIGN & FINE ART ENGINEERING SCIENCES/ MATHEMATICS AA Art - Ceramics Concentration (CNCM) AS Civil Engineering (ASCV) AS Agricultural Sciences – Agriculture Concentration (AGSC) CERT Art - Ceramics (CERC) ASE Electrical Engineering (ASEN) AS Biological Sciences - Biology Concentration (CNBB) AA Art - Drawing & Painting Concentration (CNDP) AS Engineering - Aerospace Engineering Concentration (CNEA) AS Biological Sciences - Environmental Concentration (CNBE) CERT Art - Drawing & Painting (DAPC) AS Engineering - Chemical Engineering Concentration (CNEC) AS Chemistry (ASCH) AA Art - Graphic Design Concentration (CNGD) AS Engineering - Computer Engineering Concentration (CNEO) AAS Equine Studies (AEQR) AFA Art & Design (AFAD) AS Engineering - Engineering Science Concentration (CNES) CERT Equine Studies (ESTC) AFA Art & Design - Art History Concentration (AFAH) AS Mechanical Engineering (ASEM) CERT Equine Studies - Management (ESMC) AFA Art & Design - Ceramics & Sculpture Concentration (AFCS) AS Geosciences – Geology Concentration (GEOG) GENERAL STUDIES and SOCIAL SCIENCES AFA Art & Design - Drawing & Painting Concentration (AFDP) AS Geosciences – Meteorology Concentration (GEOM) AA English (EGLD) AFA Art & Design - Graphic Design Concentration (AFGD) AS Geosciences – Ocean Studies Concentration (GEOO) AA General Studies (GSAA) AFA Art & Design - Interactive & Motion Arts Concentration (AFIM) AAS Horticulture Science (HTSS) AA Psychology (ASPR) AFA Art & Design - Photography & Digital Arts Concentration (AFPD) CERT Horticultural Science (HTSC) AFA Art & Design - Studio Arts Concentration (AFSA) HEALTH PROFESSIONS AS Mathematics (ASMA) AS Exercise Sciences (ASET) AS Physics (ASPH) BUSINESS / TRANSPORTATION & LOGISTICS AAS Health Information Technology (HITD) AAS Accounting (ACCR) VISUAL COMMUNICATIONS CERT Health Navigator (Public Health Generalist) (HENC) CERT Accounting (ACCL) CERT Basic Photography (BAPC) AS Healthcare Sciences (HCSR) AAS Agricultural Sciences – Agribusiness Concentration (AGSB) AAS Communications Concentration (CNVC) AS Nursing (NURR) AA Business Administration Transfer (BAAR) CERT Digital Imaging (VDIC) AAS Paramedic (EMTR) AA Communication Studies (CMST) AAS Graphic Design & Multimedia Concentration (CNVG) CERT Personal Trainer/Fitness Manager (PTFC) AAS Leadership and Management (BLMR) AAS Photography Concentration (CNVP) AAS Physical Therapist Assistant (PTTA) AAS Management (BCMN) CERT Photography Lab (PLTC) CERT Practical Nursing (LPNC) CERT Management (BMLC) CERT Portfolio Production (POPC) AS Public Health - Environmental Public Health Concentration (CNEP) AAS Marketing (BCMS) CERT Professional Photography (PPHC) AS Public Health – Public Health Generalist Concentration (CNPH) CERT Marketing (BCMA) AAS Simulation Design & Gaming (SOGR) AS Public Health - Health Navigator Concentration (CNHN) CERT Public Relations (PREC) CERT Simulation Design & Gaming (SOGC) CERT Public Health for Healthcare Professionals (PHPC) AAS Supply Chain Management (TLSR) CERT Studio Photography (STPC) CERT Supply Chain Management (TLSC) LAW/PUBLIC SAFETY/ HUMAN SERVICES AAS Video Production Concentration (CNVV) AAS Transportation Management (TLTM) AA Addictions and Chemical Dependency (ACHD) CERT Video Production (VIPC) CERT Addictions and Chemical Dependency (ACHC) CERT Video Technology (VITC) COMPUTER TECHNOLOGY & CYBERSECURITY AAS Criminal Justice (CJRU) AAS Web Design & Multimedia Concentration (CNVW) AS Computer Science (ASCC) AAS Fire Science Technology (FSTR) CERT Web Design & Multimedia (CDMC) AAS Cybersecurity (CYAS) AA Paralegal Studies (ASPP) CERT Cybersecurity (CYCT) UNCLASSIFIED AA Social Work (ASWR) AAS Programming (CSPR) Unclassied: College Graduate (UCCG) CERT Programming (CCPS) PERFORMING ARTS Unclassied: Self Interest (UCSI) AAS Music - Audio Technology Concentration (CNAR) Unclassied: Senior Waiver (UCSW) EDUCATION CERT Music - Audio Technology (ADTC) Unclassied: Transfer (UCTF) AAT Early Childhood Education (ENAT) AAS Music - Music Concentration (CNMR) AAT Elementary Education (ERAT) AAS Music - Music Education Concentration (CNMU) AA Secondary Education (EDSE) CERT Music - Music Performance (MUPC) AAT Secondary Education - Chemistry Concentration (CNSC) AAS Music - Voice Concentration (CNVR) AAT Secondary Education - English Concentration (CNSE) AFA Performing Arts - Live Arts Concentration (CNLA) AAT Secondary Education - Mathematics Concentration (CNSM) AFA Performing Arts - Music Concentration (CNMC) AAT Secondary Education - Physics Concentration (CNSP) AFA Performing Arts - Theatre Concentration (CNTC) CERT Performing Arts - Theatre (THEC) Please review your responses, read the statement below, and ax your signature and date. By applying to Cecil College, I accept and agree to abide by the policies and regulations as presently in eect (Ex: Convicted Felons and Registered Sex Oenders Policy and Drug Use and Alcohol Prevention Policy) and/or hereafter enacted. For current listing please visit www.cecil.edu/catalog/policies-procedures. I also agree that Cecil College has permission to use any College-sponsored photographs in which my likeness appears. I certify that the information on this application form is accurate and complete and that it is my responsibility to notify the College of any changes. Student Signature ______________________________________________________________
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