(If Different From Legal Name)
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.
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.
Race (Choose one or more)
Do you reside outside of the United States?
Address Line 1
Address Line 2
Mobile Phone Number
Permanent Phone Number
(If different from Mobile)
Would you like to opt out of text messaging other than Emergency notifications ?
Confirm Email Address
What type of student will you be?
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?
Location of High School
Name of High School
Do you have a GED?
GED Test Date
Location of College/University
Name of Institution
Application Documentation Can Be Downloaded Here:
RN Application Information
RN Essential Functions
RN Disqualifying Crimes
Health Profession Student Standards
Hepatitis B Waiver
CNA-CMA Work Experience Form
Submit Your Completed Documentation Here:
Letter to the Program Director
Unofficial Transcripts Showing Pre-requisites
LPN License (For Advance Placement Application)
What to expect once you've submitted your application: