Serving Delaware and Chester Counties
For Office Use Only:
Attach to application and mark appropriate
Admissions Hold on application.
Initials: Date:
Petition for Admission of Non-High School Graduate
Persons who have not completed high school or achieved the high school equivalency certificate (GED) may petition the
College for an exception to the admission requirement providing that they are at least 19 years old and their high school
class has graduated. A personal interview and the College’s full placement test are required. Please note: Students
without a diploma from an accredited high school or without a GED are not eligible for financial aid, even if admitted to
the College.
Name: _______________________________________________________________________
Last school attended: ____________________________ Highest Grade Completed: ________
Dates of attendance: From ________________________
(month/year)
To: _________________________
(month/year)
If you have had other educational experience since leaving high school, please list:
List all work experience since leaving high school and duration of each:
Please write a short statement to inform us of your educational goals. Why do you wish to attend Delaware County
Community College?
The above statements are complete and correct to the best of my knowledge.
_________________________________ ___________________
Signature Date
Please call the Admissions Office at 610-359-5333 to schedule an appointment with an Assistant Director of Admissions.
Complete this form and an application for admission (www.dccc.edu) and bring to your scheduled appointment.
Admissions Office
901 South Media Line Road
Media, PA 19063
Phone: 610-359-5050
Email: admiss@dccc.edu
Web: www.dccc.edu
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