Enrollment Info - When and where do you intend to attend LCC?

Personal Information

Under the federal 1997 Tax Relief Act, LCC is required to obtain the Social Security number of each student to report educational credits to the U.S. Internal Revenue Service (IRS) and to the student at the end of each tax year. Refusal to provide a valid SSN may result in a fine levied on the student by the IRS.

Full Legal Name

Mailing Address

Permanent Address

Contact Info - Provide at least one

In compliance with US Department of Education for Title IV federal requirements, please indicate your ethnic origin. Race - Please select all that apply

Have you ever been convicted of, pled guilty to, or been charged with a felony offense in any court?

How did you learn about LCC?

Residency Information

How long have you lived in one of LCC's participating school districts?

Are you a US citizen?

Note: LCC does not issue I-20’s for international students to attend college in the United States. LCC is not a SEVIS approved institution.

Select your residency status and contact Admission after submitting to provide documentation

Veteran Information

Are you a veteran?

Are you a veteran dependent?

Education Information

Have you graduated from highschool or obtained your GED/HiSET?

Which highschool did you last attend? If you obtained your GED or HiSET, enter "GED" or "HiSET".

Will you still be in highschool during your first term at LCC?

Have either of your parents earned a college degree?

Have you previously attended Luna Community College?

If you have attended or are attending another college or university, you must provide the following information and submit a transcript for each college/university listed below

LCC Associate Degree and Certificate Programs - Select a major

Allied Health

ASSOCIATE OF APPLIED SCIENCE

CERTIFICATE

Note: you can not declare a Dental Assistant major until you have applied and reived acceptance from the Dental Program. First year students should select the Allied Health Certificate as their major.

School of Business

ASSOCIATE OF APPLIED SCIENCE

CERTIFICATE

Education

ASSOCIATE OF ARTS

CERTIFICATE

Humanities

ASSOCIATE OF ARTS

CERTIFICATE

Nursing

ASSOCIATE OF APPLIED SCIENCE

Note: you can not declare a Nursing major until you have applied and reived acceptance from the Nursing Program. First year students should select the Allied Health Certificate as their major.

Science, Technology, Engineering and Math

ASSOCIATE OF SCIENCE

ASSOCIATE OF APPLIED SCIENCE

CERTIFICATE

Vocational Education

ASSOCIATE OF APPLIED SCIENCE

CERTIFICATE

Other

Signature

I hereby certify that to the best of my knowledge the foregoing information is true and complete without evasion or misrepresentation. I agree to abide by the present and future rules and regulations, both academic and nonacademic, and the scholastic standrds of Luna Community College. Including, but not limited to those rules, regulations and standards stated in the Undergraduate Catalog and Student Handbook. I further acknowledge that if I fail to adhere to these regulations or meet these requirements, my registration may be canceled. Submit Application