A. Program choice:
(Please check the appropriate box. A separate application must be completed for each program applied for.)

B.  List high school, colleges and other training in chronological order.  Official transcripts (mailed from school directly to LCC) must be provided by applicant as required by program.

C.  List observation or job experiences specifically related to your career choice.  Please document with reference from supervisor.

D.  Briefly outline your career goals and alternate plans.  Also describe why you have chosen this profession.

E.   (Note:  This question does not apply to Music Programs)
Do you have any physical, medical, emotional, or personal conditions/problems that would:

1. Prevent you from completing ANY or ALL course requirements?  Yes   No
2. Jeopardize other's health or safety?  Yes  No
3. Jeopardize your own health or safety?  Yes  No

4 - If yes to any of the above, please explain.

F.  Have you ever been convicted of a criminal offense? Yes   No
If yes, please explain.

Note:  Failure to provide this information may result in termination from the application process/program.

I understand that I must meet the basic requirements for admission to my program of choice before my application can be ranked under Phase II (as explained in Selective Admission application materials). I further realize that the ranking of my application will depend upon my place of residency and other criteria developed by the Selective Admission Program I want to enter.

I also understand that I must take full responsibility for the following:

1. Having official transcripts for all college or professional school work sent as required to the Enrollment Services Office.
2. Notifying the Admissions Office of any changes in health since my original application that may affect my ability to complete the program.
3. Updating information on the Selective Admission Application (including current address and telephone number) if any changes occur prior to my starting the program.
4. Meeting all application deadlines established for my program of choice.

I understand that if I am not admitted to my program of choice during an admission cycle, I will be required to reapply for admission during a subsequent admission cycle.

I give Lansing Community College my permission to contact the employer references that I have provided in this application.

The information that I have provided in this application is true and accurate to the best of my knowledge.

Full name

If you have questions, please contact the Enrollment Services Office at (517) 483-1254 or (517) 483-1282, or you can e-mail us at: selective_admissions@lcc.edu

Note:  Lansing Community College reserves the right to establish or modify program admission requirements for any programs offered through the college.