Name information
First name
Middle name
Last name
Suffix
Preferred name
(if different than legal name)
Gender
Marital status
Make sure you change the year, not just month and day!
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
Zip code
City
State
County
Country
Mobile phone number
Permanent phone number
(If different from mobile phone number)
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?
What to expect after submitting your application:
