Mid-America Lumbermens Association
SFCC Course # Title of Course Credit Hours
Fall Spring Summer
No Yes
By signing or typing my current e-mail address, I am confirming that to the best of my knowledge, the above information is true and
complete in all respects and no important information has been withheld. By signing this Application I agree to abide by all of the
policies and regulations of State Fair Community College.
Within three business days of receipt of your application you can expect to receive an e-mail from State Fair Community
College with login instructions to our student portal and information about accessing your online class.
Applicant e-mail:
Last First Middle
Which semester to you plan to attend?
Have you ever attended SFCC?
Date:
Address: State: Zip Code:
SS Number:
Home Phone: Cell Phone:
City:
Employer Name:
20
High School Name:
If yes, when?
Name:
No Yes
Are you a U.S. Citizen?
Graduation month/year:
Address:
State: Zip Code:City:
Phone:
Black (non-hispanic)
Two or more races
White (non-hispanic)
Choose not to respondAmerican Indian/Alaskan Native
Hispanic
Asian
Asian/Pacific Islander
Ethnicity:
I will be paying for class(es) with the enclosed check.
I will be paying for class(es) online using my credit card or electronic check.
My employer will be paying for my class(es). I will submit the statement to my employer.
State Fair Community College follows a policy of non-discrimination on the basis of race, color, religion, gender, sexual orientation, ancestry, national origin, disability, age, or veteran status in its educational
programs, activities or employment as required by law.
In compliance with the Campus Security Act as amended in 1993, State Fair Community College is committed to providing a safe campus for students and employees. Information about campus security
policies and procedures is published at www.sfccmo.edu under 'About SFCC.' The annual "Annual Campus Security Report" can also be found online at www.sfccmo.edu.