Application for Admission

Personal Information

Legal Name

Do you have a chosen or preferred name?  

Chosen/Preferred Name

This is an option for people who wish to use a name other than their legal name to identify themselves. If you use your legal name, you do not need to specify a chosen/preferred name.

ECC recognizes that faculty, staff and students may use names other than their legal name to identify themselves. These may include, but are not limited to, people who use their middle name instead of their first name, people who use nicknames of a legal name, people who use an anglicized name, or people who use a name that affirms their gender identity.

Chosen/Preferred Name

Do you have any previous names? (Ex. Maiden or other legal name changes)

Previous Name(s)

Ex. Maiden or other legal name changes
Select your citizenship status
Please send a copy of your Permanent Resident Card to admissions@eastcentral.edu.
Please send a copy of your Visa to steffani.mccrary@eastcentral.edu, or apply for admission as an international student by completing the International Student Packet, available on the International Student page.
Proof of residency in the East Central College district may be required.
Birthdate
Entering an incorrect social security number will cause delays in processing your application.
Are you a Veteran or are you currently serving in the U.S. Armed Forces?
Gender assigned at birth
Are you Hispanic/Latino?
Race (choose one or more)

Emergency Contact Information

Relationship

Tuberculosis (TB) Screening

All new students intending to seek admission into East Central College must be screened for Tuberculosis (TB).
Please read the following set of questions:
  • Have you ever been diagnosed with TB?
  • Have you ever been in contact with someone who has, or had, TB?
  • Were you born outside the United States?
  • Have you engaged in frequent visits, prolonged visits, or military service outside the United States?
  • Have you been a volunteer or health care worker who served clients who are at an increased risk for active TB disease?

ECC will notify you if documentation of a PPD tuberculin test, chest X-ray, or IGRA test, within the past 12 months from a provider in the United States, is required. Documentation can come from your physician, county health department, or place of work.

ACCESS and Disability Services

Access Services provides support for students who have documented disabilities by making reasonable accommodations in regard to academic instruction and other college related activities.

Students enrolling at East Central College who are seeking services for a disability must submit appropriate documentation and meet with an Access Counselor in order to receive services.

After submitting this form, please complete the Access Application form.

Criminal Background

Do you have any pending felony charges, pled guilty to a felony, or been convicted of a felony?

Education

Did you graduate from your high school/home school?
Are you still attending high school/home school?
Did you pass the GED/HSE test?
Have you previously enrolled in any college credit coursework, whether it was in high school or at another institution? (i.e. Dual Credit, Dual Technical Credit, Associates Degree, etc.)
If you have registered for any courses at other colleges or universities for previous semesters (including dual credit / dual enrollment), please request that each college or university send us your official academic transcript (regardless of whether you completed courses or received grades). Failure to list all colleges is considered falsification of records and may void your admission.
If you have additional colleges to list, please email the names and locations of those colleges to admissions@eastcentral.edu.

Academic Goals

By submitting the application, I am certifying that I am the person who has completed the information on this application and that all the information I have provided is complete and accurate to the best of my knowledge. I am financially responsible for any tuition and fees accrued.

I understand that my name will appear on all college documents as listed above, unless I file a Student Information Form with the Student Service Center. Furthermore, I acknowledge that the college may accept and/or send transcripts to award credit for the purpose of transfer program completion.

I agree that East Central College may use photographic images and video or audio recordings of me, with or without my name and for any lawful purpose, including such purposes as publicity, marketing, illustrations, advertising, web content and/or other purposes without limitation, consistent with the mission of ECC. I voluntarily waive the right to inspect or approve such images and waive my right to any royalties or reimbursement, monetary or otherwise. This release is effective on the date of form submission and will remain in effect indefinitely.