Name Information
First Name
Middle Name
Last Name
Suffix
Preferred Name
(If Different From Legal Name)
Gender
Marital Status
Make sure you change the year, not just month and day!
Providing your social security number is optional for admission to KCC, but is required before requesting Federal Financial Aid.
Birth Date
SSN
United States Veteran?
To comply with federal statistical reporting requirements, Klamath Community College must seek to identify the racial and ethnic background of applicants. You are encouraged to to supply this information , but your application will be given the same consideration whether or not you do so.
Ethnicity
Race (Choose one or more)
Contact Information
Do you reside outside of the United States?
Address Line 1
Address Line 2
City
State
Zip Code
County
Country
Mobile Phone Number
Permanent Phone Number
(If different from Mobile)
Would you like to opt out of text messaging other than Emergency notifications ?
Email Address
Confirm Email Address
Candidacy Information
Applicant type
What type of student will you be?
Campus/Location
What year do you plan to begin your studies?
What term do you plan to begin your studies?
Choose a program of study.
Are you a legal resident of OR, CA, WA, ID, or NV?
Hobbies & Interest
I am interested in:
How did you find out about KCC?
School Information
Location of High School
High School
Name of High School
Graduation Date
Do you have a GED?
GED Test Date
Location of College/University
College/University
Name of Institution
Degree
Application Documentation Can Be Downloaded Here:
Automotive Questionnaire
Automotive Checklist
Driver's License Waiver Form
Submit Your Completed Documentation Here:
Driver license
DMV 3-Year Driving Record
Letter of Recommendation
Driver's License Waiver
What to expect once you've submitted your application:
Sincerely,
Jeff Rush
Klamath Community College
Lead for Transportation
541-880-2326
rush@klamathcc.edu
