MCC Admissions Application

If you are having trouble with this form please see our old admissions application.

For Military Residency Forms please see the MyMohave admissions page.

All yellow fields are required

Enrollment Information






Name

Please use your full and legal first and last names





Mailing Address







Contact Information



IMPORTANT: Enter your e-mail address to receive important information about Mohave Community College, your application, next steps for admissions and log-in & password information. By entering your e-mail, once enrolled at MCC, you authorize MCC to send information regarding your academic career such as registration information, academic performance, financial aid, disbursement eligibility, billing statements, charges, and past due amounts to this e-mail account.

Any format is accepted, just make sure to include the area code
OR (At least one phone number is required)

Any format is accepted, just make sure to include the area code



Any format is accepted, just make sure to include the area code

General Information


MM/DD/YYYY format


Dashes not required. If you do not have a social security number enter all zeros.




Ethnicity/Race

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, newspapers, and our own college/university communities, to describe the racial/ethnic backgrounds of our students and employees. In order to respond to these requests, we ask you to answer the following question(s)


American Indian or Alaska Native
Asian
Black or African
Native Hawaiian or Other Pacific Islander
White

Citizenship

Student must be prepared to provide evidence of citizenship, permanent residency or other lawful immigration status.

Residency Status

To be considered an Arizona resident for tuition purposes, you must have resided in the state continuously for at least 12 months prior to submitting this admission application.




MM/DD/YYYY format

High School Information



MM/DD/YYYY format

Acknowledgment

By submitting this form, I hereby certify that, to the best of my knowledge, the information furnished is true and complete without intention of evasion or misrepresentation. I understand the above information is submitted under penalty of perjury, and false or misrepresentative data is sufficient cause for rejection of this admission form.
I have read and understand the paragraph above (required)

What's Next?

Once your application has been processed your MCC ID number will be emailed to you.

You will receive an email from Enrollment Services directing you to scan required documents into the MCC secure site. Required documents may include any of the following: Social Security card, Driver's License, Permanent Resident Card, Visa, Foreign Passport. All applicants are considered out-of-state students until Residency and Citizenship documents have been reviewed by Enrollment Services. Once documents have been reviewed, your tuition status will be determined.

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