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Seward County Community College




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Information Hello! Welcome to the SCCC "Saints Info" form. Please enter your information below.

Required - indicates a required field.
Information Let's start with your name:

Prospect Name
First Name: Required
Middle Name:
Last Name: Required

Information How about your address? We would be happy to send you the information you request. (It is not necessary to enter a date in the "Until" field.)

Primary Address
Valid From: Month Day Year (YYYY)
Until: Month Day Year (YYYY)
Address Line 1:Required
Address Line 2:
Address Line 3:
State or Province:
ZIP or Postal Code:
Phone Number: - (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:

Information The citizenship information will help us provide you with more accurate information.

Prospect Citizenship

Information Please enter your birth date below. A birth date is required.

Prospect Birthdate
Date of Birth:Required Month Day Year (YYYY)

Information Please enter your social security number below, if available.

Prospect SSN/TIN/TFN
U.S. Social Security Number: (999999999 or 999-99-9999)

Information To receive information via e-mail, provide an address you will check frequently. SCCC does not provide student e-mail addresses to anyone outside of our institution.

E-Mail Address
E-mail Address:
Verify E-mail Address:

Information Gender information is used strictly for reporting purposes.

Prospect Gender
Gender: Male Female Not Specified

Information When will you join our team? Provide a term in which you would begin attending SCCC. Fall term usually begins in mid-August, spring in mid-January, and summer at the beginning of June.

Prospect Entry Term
Term of Entry:Required

Information Choose a major area of interest.

Prospect Major

Information If your high school is not found in the "look up high school code" button, provide as much information as possible in the high school fields below. If you are or were home schooled, please check the "home schooled" box.

Prospect High School
Home Schooled (check for yes):
High School Code:
High School Name:
Address Line 1:
Address Line 2:
Address Line 3:
State or Province:
ZIP or Postal Code:
Graduation Date: Month Day Year (YYYY)
Class Rank and Size: / (must be numeric)
GPA: (example: 9.99, or A+)

Information How did you hear about SCCC?

How Prospect Learned About Us
How I Learned About Seward County Community College:

Information Tell us about your interests. To select multiple interests use Ctrl+Click for PC and Command+Click for Mac.

Prospect Interests

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