Clinton Community College Online Application
A Member of the State University of New York
General Information
Program of study you are applying for at CCC:
Full-time study (12+ credits):
Part-time study (Less than 12 credits):
Distance Learning
(Check here if you plan to enroll in only distance learning courses.  Please note: CCC currently offers Liberal Arts/Humanities & Social Sciences and Business Administration A.S. degrees online.   here is a current listing of those courses.)
Check if applying for joint admissions with Plattsburgh State University:
Semester/Year
Social security number:
Last name:
First name: Middle Initial:
Sex Male
Female
Date of Birth
If your name has changed, please enter former last name
If your name has changed, please enter former first name
Citizenship
Permanent Country of Residence
Check here if English is NOT your native language
Visa Code for Non-US Citizen
Military Service Status
Highest Earned Degree
Current Address Information
Address Line 1
Address Line 2
City
State or province
Postal Code
County
Home telephone ( )
Emergency telephone ( )
Email Address
High School Information
High School Name
State or province
Please select graduation status:
  High School Graduate:
  Withdrawal from High School:
  Receipt of GED:
  Home School Graduate:
Year of graduation, withdrawal, or GED:
Additional Required Information
Check here if you have ever been convicted of a felony:* Check here if you have ever been dismissed from another college for disciplinary reasons:*
*An affirmative response to either question will not automatically prevent admission, but applicants will be asked to provide additional information.
Racial/Ethnic Background
Are you Hispanic/Latino? Yes No
If Hispanic/Latino, is your background (Select One)
All applicants, please indicate your race
(Select One or More) 		White
Black or African American
Asian
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native
   
Would like to identify yourself as having a disability?  
Previous College Information
Forward all transcripts from previous colleges attended to the CCC admissions office.
*Please List Last College Attended First:
College   Last Date Attended
 

*Please indicate institution name if not provided.
 

*Please indicate institution name if not provided.
 

*Please indicate institution name if not provided.
 

*Please indicate institution name if not provided.
 

*Please indicate institution name if not provided.
 

*Please indicate institution name if not provided.
 
Application Deadlines:
Applications for full-time admission will be accepted until the last working day prior to the start of classes for that given semester.  Part time students applications are accepted up to and including the first week of classes.
High School Transcripts or GED:
Clinton Community College requires an official copy of your high school transcript showing all of your coursework completed to date.  A final transcript indicating high school graduation is required before a final admission decision can be made.  Faxed transcripts are not considered official documents.  A GED will be accepted in lieu of a high school transcript.
Previous College Transcripts:
If you have previously attended other colleges, you must have official academic transcripts sent from those institutions.  These Registrar's offices often require such a request be made in writing, and there may be a charge for the transcript service.  Failure to provide these documents could mean a delay in your final admission to Clinton Community College and/or a delay in the release of financial aid benefits.
ACT or SAT Test Scores:
Clinton Community College does not require these test scores.  However, they are recommended for some degree programs solely as a guide for placement.  Placement tests may be waived based on SAT and ACT scores.
Immunization Records
New York State Public Health Law 2165 requires college students born after January 1, 1957 to provide proof of immunization to measles, mumps and rubella (MMR). Documentation should be forwarded to the Health Office.  
By clicking the submit button below, I certify that the information on this application is correct.  False information or omission of data may result in denial of admission or dismissal.
Clinton Community College, a member of the State University of New York, in recognition of its educational mission, its social concern, its responsibility for the personal development of individuals, and its concern for the rights of the individual, does hereby express and establish this college policy of Affirmative Action/Equal Opportunity. It is the policy of Clinton Community College to provide equal opportunity in education, employment, and participation in College activities without regard to race, color, creed, religion, sex, age, national origin, disability, political affiliation, sexual orientation, veteran or marital status, or other basis prohibited by law, except as such conditions may constitute bona fide occupations or assignment qualifications. The College's Affirmative Action Officer is designated campus contact for matters related to Title IX of the 1972 Education Amendment, Affirmative Action, and Equal Opportunity. Inquiries should be directed to: Human Resources/Affirmative Action Officer, Room 223M, Clinton Community College, 136 Clinton Point Drive, Plattsburgh, NY 12901, (518)562-4137, or Office for Civil Rights, U.S. Department of Education, 75 Park Place, 14th Floor, New York, NY 10007-2146.
    
 
 
© 2002 Clinton Community College. For more information please contact Admissions.