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APPLICATION FOR ADMISSION
Find yourself here.
Please complete this application and mail or bring to:
Delaware County Community College
Admissions Ofce
901 South Media Line Road
Media, PA 19063
www.dccc.edu | 610-359-5050 | Serving Delaware and Chester Counties
APPLICATION FOR ADMISSION
Date of birth:
Social Security Number:
Legal name:
LAST FIRST MIDDLE
Legal address:
STREET APT#
STATE ZIP
CITY
School district in which you currently reside:
Home telephone:
Cell phone number: Email:
PLEASE TYPE OR PRINT LEGIBLY
Check here if applying for readmission (no application fee required if previously paid).
Check here if you are a visiting student. (see #20 under Special Admission Program)
ANTICIPATED TERM OF A
TTENDANCE Spring/Accelerated (January-May) Year
Fall/Accelerated (September-December) Year Summer I (May-June) Year
Winter (December-January) Year Summer II (July-August) Year
STATUS (please check one)
U.S. Citizen Resident Alien: No. No Status
Immigrant Visa (attach proof)
Refugee (attach proof) Asylum (attach proof)
Non-Immigrant, Foreign National, Country of Origin: (attach proof)
Visa Type: F B H J Other Visa Expiration Date:
ACADEMIC MAJOR CODE
SECONDARY EDUCATION
EXPERIENCE
High School:
NAME OF HIGH SCHOOL MONTH / YEAR OF GRADUATION
ADDRESS CITY STATE ZIP
OR – High School Equivalency (Provide name of the agency issuing the GED, address, and date of certification.)
NAME OF AGENCY ADDRESS OF AGENCY DATE OF CERTIFICATION
POST-SECONDARY EDUCATION EXPERIENCE
College/University
NAME DEGREE IF A GRADUATE
NAME DEGREE IF A GRADUATE
VETERANS ONLY
Are you a U.S. Military Veteran, active duty service member or Guardsman/Reservist?
Are you the spouse or dependent of someone who has served in the U.S. Military?
Yes
Yes
No
No
Students undecided about a major should list Liberal Arts (LA).
Application without a major code will be returned to the applicant.
Major Codes are located on the back of the application.
REFER TO #8 IN APPLICATION INSTRUCTIONS
All required fields are in red.
Application cannot be processed
without this information.
I certify that the information I have herein provided is true to the best of my knowledge and realize that any falsication of
information, particularly that concerning residency and citizenship, may release the College from considering my application
for admission or may lead to dismissal from the College at a later date.
No application will be processed without complete
information and your signature.
SIGNATURE DATE
___ 5. Asian
___ 6. White
In order to gather information required by state and federal agencies, we request that you voluntarily provide the following
information. Your decision to answer these questions is optional and will in no way affect admissions decisions. This information is
condential and only used for statistical research. Please check:
SEX M F
ETHNICITY Hispanic/Latino: Yes No
Racial Group (select one or more)
___ 1. Two or more races
___ 2. Black/African-American
1. Your PRIMARY education goal in attending Delaware County
Community College. (select one)
___ 1. Graduate with a two-year Associate Degree
___ 2. Complete a certicate program
___ 3. Selected courses, no degree plan
___ 4. Selected courses, uncertain of degree plan
___ 5. Other
2. Do you plan to transfer your credits from Delaware County
Community College to another school?
___ 1. Yes
___ 2. No
___ 3. Unsure/undecided
3. To which college do you plan to transfer your Delaware
County Community College credits? (select one)
___ 1. Drexel Univ. ___ 6. Widener Univ.
___ 2. Immaculata Univ. ___ 7. Temple Univ.
___ 3. Neumann Univ. ___ 8. Other
___ 4. Penn State Univ. ___ 9. None
___ 5. West Chester Univ.
4. Indicate the highest educational attainment of your mother.
___ 1. Less than a high school diploma
___ 2. High school diploma or GED
___ 3. Some college but no degree
___ 4. Two-year degree
___ 5. Bachelor’s degree or higher
5. Indicate the highest educational attainment of your father.
___ 1. Less than a high school diploma
___ 2. High school diploma or GED
___ 3. Some college but no degree
___ 4. Two-year degree
___ 5. Bachelor’s degree or higher
6. Indicate the primary language spoken at home.
___ 1. English
___ 2. Spanish
___ 3. Other, please list:
7. Indicate if you meet the denition of one or more:
___ 1. Displaced Homemaker–separated, divorced, widowed
homemaker or homemaker with a disabled spouse who
needs skills to become economically self-sufcient.
___ 2. Single Parent–individual who is unmarried or legally
separated and retains custody or joint custody of a minor
child or children.
___ 3. Both displaced homemaker and single parent.
___ 4. None
8. If you are employed, how many hours per week do you work
on average:
___ 1. Currently unemployed
___ 2. 1-20 hours per week
___ 3. 21-35 hours per week
___ 4. More than 35 hours per week
___ 3. American Indian/Alaskan Native
___ 4. Native Hawaiian/Other Pacic Islander
___ 7. Other
Many student services are supported by grants. It is important that we have a prole of students’ needs as they enter the College.
Answering the following will enable us to provide the widest scope of services possible.
APPLICATION INSTRUCTIONS
1. Please complete and return the application to:
Delaware County Community College, Admissions Ofce, 901 South Media Line Road, Media, PA 19063-1094
Applications received without the academic major code, citizenship, high school or GED information (including date), and
signature will be returned. This will delay the admissions and registration process.
2. If you previously enrolled at Delaware County Community College and stopped attending for one year or longer, you must submit
a re-admit application. Please use the regular application and check the box indicating you are applying for readmission.
TRANSCRIPTS
3. We strongly recommend that all students apply for nancial aid. All nancial aid applicants are required to submit an ofcial, nal
high school transcript with the date of graduation and nal grades or GED transcript. Financial aid will not be disbursed until all
requirements are met, including the ofcial transcript being received by Student Records. High school graduates should contact
their high school guidance ofce to have the transcript sent. GED recipients should contact the Department of Education in the
state where they earned the diploma to request a transcript.
4. If you are seeking transfer credit, you must have an ofcial transcript sent from each college you attended. Contact your college
Records or Registrar’s Ofce and ask that your transcript be sent to our Records Ofce. You may be asked to submit your request in
writing along with a transcript fee. Transcripts not received directly from a college must be received in a sealed college envelope.
To request an ofcial evaluation of your transcript(s), contact Assessment Services at 610-359-5322 and request a petition for
transfer credit. Complete the petition and return it to Assessment Services immediately. We recommend visiting students submit
ofcial transcripts and transfer their credits to make registering for classes, especially online, easier.
PLACEMENT TEST AND ADVISING
5. Within seven days after we receive your completed application, the Admissions Ofce will send you an acceptance letter with
information about placement testing. The test takes 2 ½ hours. If you are a returning student who previously took the placement
test, you do not need to re-take it.
If you successfully completed college-level math and English Composition, you can waive the placement test. We recommend you
transfer the credit to Delaware County Community College to facilitate your registration.
SAT or ACT scores may be used for placement in math and/or English courses. Students should have their ofcial scores sent
to Assessment Services at the College. The College’s school code for the SAT is 2125 and for the ACT is 3542. Scores must be
current within 5 years of the student starting classes. To waive the placement test, students must receive the following minimum
scores: English/Reading = SAT verbal: 500; ACT verbal: 18
Math = SAT math: 500; ACT math: 20
6.
At the placement test session, you should sign up for a college planning session to review your test scores with an advisor and register
for classes. If you waived the placement test by returning the card included with the acceptance letter, you will receive a college
planning date in the mail. The college planning can last 2 ½ hours and students are advised in the order in which they arrive.
STUDENTS WITH DISABILITIES
7. Students with a documented learning, physical and/or psychological disability seeking reasonable accommodation for placement
testing and/or the classroom should contact the Ofce of Disability Services at 610-359-5229 (v) or 610-359-5020 (TTY). This
information will be kept in strict condence and has no effect on your admission to the College.
The following information will help you successfully complete the application process. All students planning to take credit
classes at the College, full- or part-time, must complete the application. We recommend that you complete the process as early
as possible to allow sufcient time for processing, placement testing, advising and nancial aid processing. If you have questions
regarding the process, please visit the Admissions Ofce, room 3500, at the Marple Campus, call 610-359-5050, or email
admiss@dccc.edu.
Thank you!
Application Instructions
Please keep for future reference.
www.dccc.edu | 610-359-5050 | Serving Delaware and Chester Counties
SOCIAL SECURITY NUMBERS
8.
Delaware County Community College is required by federal law to report to the Internal Revenue Service (IRS) the name, address, and
SSN for persons from whom tuition and related expenses are received. Federal law also requires us to obtain and report to the IRS Social
Security number for any person to whom compensation is paid. Furnishing a Social Security number is voluntary and not required for
enrollment; however, failure to provide such information may delay and/or prevent enrollment and/or payment. It is important to note
that the College will not disclose a Social Security number for any purpose not required by law without the consent of the student.
FINANCIAL AID AND SCHOLARSHIPS
9.
If you are seeking nancial aid, please include your Social Security Number on your Application for Admission so the College can
match this to your Free Application for Federal Student Aid (FAFSA), available online at www.fafsa.ed.gov. For more information,
contact the Financial Aid Ofce at 610-359-5330. The nancial aid application process takes time, so please allow at least four
weeks to complete. Visit our website at www.dccc.edu to apply for and to learn about scholarship opportunities. Upon reaching our
site click on Admissions and Financial Aid, then Financial Aid. There you can view steps to the nancial aid process, scholarships,
and FAFSA information. If you wish to obtain nancial aid, you must submit an ofcial, nal high school or GED transcript.
SPECIAL ADMISSION PROGRAMS
10. If you are applying for Nursing, Respiratory Therapy, or Surgical Technology, you must contact the Admissions Ofce at
610-359-5050 for information on special application procedures or visit www.dccc.edu/specialapps.
11. If you are applying for Municipal Police Training, you must contact the Municipal Police Academy at 610-359-7386 for admission
information or visit www.dccc.edu/policeacademy.
12. Applicants interested in Technical Studies must contact Assessment Services at 610-359-5322. In the meantime, please select
another major code.
13. Plumbing Apprenticeship applicants must contact 610-356-4800 for special admission procedures.
14. Paramedic applicants must contact the program coordinator at 610-723-6315 for special admission procedures or visit
www.dccc.edu/paramedic.
15. If you are 19 years of age or older and have not graduated from high school or passed the GED, we will consider you for admission
on an individual basis. Please contact the Admissions Ofce for procedures and forms.
16. If you are a high school junior or senior and are interested in the College’s High School Dual Enrollment Program, please visit
www.dccc.edu/highschool.
17. If you are a Foreign National seeking a student visa (F-1 or M-1), you must contact the Admissions Ofce for the application and
procedures. If you are a foreign national seeking to enroll part-time, you can complete the regular application. B Visa holders are
not permitted to take credit classes.
18. If you are a Registered Nurse (RN) applying for Perioperative Nursing, or a Perioperative RN applying for RN First Assistant, you
must contact the Allied Health, Emergency Services, and Nursing Department at 610-359-5285.
19. Neurodiagnostic Technology applicants must contact Allied Health, Emergency Services, and Nursing Department
at 610-359-5353.
20. Visiting students from another college/university should visit our website for registration instructions: www.dccc.edu/visiting.
BACKGROUND CLEARANCES AND MEDICAL RECORDS
21. There are a number of programs of study at the College that require background clearances and/or medical records to be submitted
before a student can register for certain courses within the program or to be admitted to that program of study. The results of these
documents could prevent a student from completing the required courses to earn that degree or certicate. Please consult the
College Catalog and/or the appropriate program director/manager for details.
Delaware County Community College is an equal employment and
educational opportunity institution conforming to all applicable legislation
that prohibits discrimination. The College does not discriminate on the basis
of race, color, religion, sex, age, national origin, disability, veteran status,
sexual orientation or any other characteristic protected by state or federal
laws in its educational programs, activities, admission or employment
policies, as required by Title IX of the Educational Amendments of 1972,
Section 504 of the Rehabilitation Act of 1973 and other applicable statutes.
Inquiries concerning Title IX and/or 504 compliance should be referred to:
Carol Mullin, Director of Assessment Services, room 4265, 610-359-5318, or
Kendrick Mickens, Director of First-Year Experiences, room 2170, 610-359-
5340. TTY for the hearing impaired: 610-359-5020.
Inquiries related to accessibility services for students should be directed to
the ofce of disability services, (abinder@dccc.edu), 610-359-5229.
Delaware County Community College is an Equal Opportunity Employer
Federal law requires colleges and universities to make available in-
formation on campus crime rates and security provisions. Copies of
this report are available online at www.dccc.edu. Once you have
reached Delaware County Community College’s website, click on
About Us, and then click Safety/Security. You may call the Depart-
ment of Safety and Security at 610-359-5303 or visit them in per-
son. Colleges and universities also must make available information
on graduation, transfer, persistence, and attrition rates for full-time,
rst time, degree-seeking students. (See student handbook.)
Delaware County Community College is accredited by the Middle
States Association of Colleges and Schools, Commission on Higher
Education, 3624 Market St., Philadelphia, PA 19104.
Administration of Justice AADJ
Business Administration BUAD
Communication Arts
Communication Studies COMM
Journalism JOUR
Theatre THEA
Computer Science CIS
Creative Writing CW
Early Childhood Education ECED
Education EDUC
Engineering EGR
English ENG
Global Studies GLOS
Graphic Design GRA
History HIS
Liberal Arts LA
Mathematics/Natural Science MNS
Photography PHO
Political Science POL
Psychology PSY
Science for Health Professions HSCI
Social Work SWO
Sociology SOC
Studio Arts STU
COLLEGE AND UNIVERSITY TRANSFER PROGRAMS (AA, AFA, & AS DEGREES)
These majors are for students planning to transfer credits to four-year colleges/universities in order to complete baccalaureate degree programs.
* Students without a bachelor’s degree may enroll; having a bachelor’s degree is required to sit for the CPA exam.
**
An associate or bachelor’s degree with at least 21 credits in approved General Education courses is required for admission to the Paralegal Studies Certicate Program.
*** This certicate requires that the student be a registered nurse (RN) prior to beginning the program.
# This certicate requires that the student be a perioperative nurse prior to beginning the program.
††
These programs have special application procedures. See Special Admission Programs on the instruction sheet.
CAREER PROGRAMS (CERTIFICATE)
Student interested in entering the workforce after completing a year or less of college experience may earn a certicate in one of the
following areas:
Accounting (Professional) * ACC
Automotive Technology I AUT
Automotive Technology II AUTC
Carpentry (Residential) CPT
Child Development Associate ECA
CNC Programming- Lathe & Mill CNC
Computer-Aided Drafting & Design DDTC
Computer-Aided Machining, Lathe, Mill
and EDM CAM
Construction Supervision CSUP
Culinary Arts CULC
Early Childhood Director ECD
Electro-Mechanical Technology ELTC
Heating, Ventilation, Air Conditioning,
and Refrigeration HVA
Human Resource Management CHRM
Industrial Production Technician IPT
Information Technology
Interactive Multimedia IMMC
Mobile Computing MOBC
Web Development WEB
Web Programming CSWP
Manufacturing Operations MAN
Medical Assistant CMED
Medical Billing MB
Medical Coding and Billing MC
Municipal Police Academy
††
MPT
Ofce Administration OAC
Paralegal Studies ** CPLG
Paramedic MEDX
Perioperative Nursing
††
NURP ***
Plumbing Apprenticeship
††
PLB
Plumbing Technology PLBC
Process Control Technology I PCT
Residential Electrical ELT
RN First Assistant
†† #
Theatre Arts THEC
Welding WLD
Programs of Study and Major Codes
6/17 10K
Accounting ACCT
Advanced Technology
* ADVT
Culinary Arts CUL
E
mergency Management and Planning
EMER
General Business BGEN
General Studies GEN
Health Care Management AHM
Health Studies HSTU
Health Studies–Pre-Nursing
HSTN
Hotel and Restaurant Management HRM
Information Technology
Computer Programing DPRP
Game Development ITGD
Help Desk/Technical Support DPM
Interactive Multimedia IMM
Mobile Computing MOB
Network Engineering DPRN
Web Development ITWD
Machine Tool Technology MTT
Medical Assistant MED
Medical Coding and Billing MCBA
Neurodiagnostic Technology
††
HSNT
Nursing
††
HSTN
Paralegal Studies PLG
Paramedic–Advanced Life Support
††
EMTP
Respiratory Therapy
††
RESP
Skilled Trades ** SKTR
Surgical Technology
††
ORT
Technical Studies
††
CAREER PROGRAMS (AAS DEGREES)
Delaware County Community College offers the associate in applied science degree for students seeking training in preparation for full-time
employment. With planning, these programs may prepare students for transfer to a four-year college.
* For students seeking hands-on training and education in areas such as manufacturing, electronics, industrial production, process control, computer aided
design and drafting, facilities management and CNC operations.
**
For students seeking a skilled trade in automotive, electrical, plumbing, HVAC, carpentry and welding.
††
These programs have special application procedures. See Special Admission Programs on the instruction sheet.
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Completed 4 February 2021

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