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Request Information about St Louis Community College

 

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Required - indicates a required field.

Biographic Information

Your Name
Prefix:
First Name: Required
Middle Name:
Last Name: Required
Suffix:
Nickname:

Information Step 6 St Louis Community College uses your Social Security Number to match your records accurately; however, this number is protected for your privacy and wil not be used as your student ID number. Click here for our SSN policy statement.
If you do not wish to enter your SSN on our secure web site, you may leave the field blank and complete the rest of the form.

Social Security Number
U.S. Social Security Number:Required (999999999 or 999-99-9999)

Information Step 7 If you graduated or will graduate from a Missouri high school, please select that high school from the list and complete the other information.

If you did not (or will not) graduate from a Missouri high school, please enter one of the following codes instead:

  • 999990 - Non-Missouri High School
  • 999998 - earned a GED diploma (either in Missouri or another state)
  • 999999 - did not (will not) complete high school
If you are (were) home-schooled, check the "Home Schooled" box and leave the other fields blank. If you do not know the exact date of your high school graduation, enter the month and year, and select "01" for the day. You should leave the Class Rank and Size and GPA fields blank.

Your High School
Home Schooled (check for yes):
OR
High School Code:
High School Name:Required
Address Line 1:
Address Line 2:
Address Line 3:
City:Required
State or Province:
ZIP or Postal Code:
Nation:
Graduation Date: Month Day Year (YYYY)
Class Rank and Size: / (must be numeric)
GPA: (example: 9.99, or A+)

NOTE: Please leave the "Until" date field blank for your address.

Home/Current Address
Valid From: Month Day Year (YYYY)
Until: Month Day Year (YYYY)
Address Line 1:Required
Address Line 2:
Address Line 3:
City:Required
State or Province:
ZIP or Postal Code:
County:
Nation:
Phone Number: - (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:

E-Mail Address
E-mail Address:Required
Verify E-mail Address:Required

Your Birthdate
Date of Birth:Required Month Day Year (YYYY)

Your Gender
Gender: Male Female Not Specified

Academic Information

Term You Plan to Enroll
Term of Entry:Required

Major Field of Study
Major:Required

To select multiple items from the following lists, hold down the control (CTRL) key while clicking on your choices.

Interests
Interests:

How Did You Learn About STLCC?
How I Learned About .:

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