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To submit an application to our school, please complete the following form and select Submit Application.

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Personal Information

Social Security Numbers must be provided in order to be eligible to receive a 1098T tax form for tax credits and receive Federal Financial Aid. Applicants who provide an incorrect SSN or no SSN are declining a 1098T form for tax filing purposes.

Address Information

Please note that a physical address is required. A Post Office Box is not an acceptable address for ICC record keeping.

    1.  
Contact Information
  1. Phone Type Country Phone Number Primary
Demographic Information
Ethnicity and Race Information
  1. Are you of Hispanic/Latino ethnicity or descent? Yes No
    Select one or more races with which you identify yourself:
    American Indian or Alaska Native
    Asian
    Black or African American
    Native Hawaiian or Other Pacific Islander
    White
Citizenship Information
Academic Information

ICC is committed to a policy of non-discrimination involving equal access to education and improvement to all regardless of race, gender, national origin, religion, age, and disability in admissions, educational programs or activities, and employment, all as required by applicable law and regulations under the Title VI Civil Rights Act of 1964, Title IX regulations of 1972, Section 504 of the Social Rehabilitation Act of 1973, and Americans with Disabilities Act (ADA) of 1990. You have the right to notify this institution if you have a disability that may require a reasonable modification or accomodation.

  1. Program
Academic Interests
  1. Interests
     
Campus
Residency Preference
Test Scores
  1. Test Type Score Date Taken
Emergency Contacts

Education History

Kansas law requires an official transcript be sent from each institution you have attended. Because we cannot request them on your behalf it is your responsibility to make sure that each transcript is sent to ICC.

In addition to your application, if you choose to apply for scholarships and/or financial aid, or plan on graduating from ICC, it is required that you provide a final transcript from your High School or GED program.

All records submitted to ICC become the property of ICC and cannot be returned to the student.

Please notify the ICC Registrar's Office of any changes of address or names immediately.

Independence Community College

Office of Registrar

1057 W. College Ave.

Independence, KS 67301

FAX: 620.331.7924

Main: 620.331.4100

Toll Free: 800.842.6063


  1. Degrees

     

Source
Additional Information

First generation college student means -

(1) A student neither of whose natural or adoptive parents received a baccalaureate degree;

(2) A student who, prior to the age of 18, regularly resided with and received support from only one parent and whose supporting parent did not receive a baccalaureate degree; or

(3) An individual who, prior to the age of 18, did not regularly reside with or receive support from a natural or an adoptive parent.

School Policy
  1. Select "I accept" to confirm that you have read and fully understand the terms and conditions set forth in our Application Policy

    I do not accept I accept
Supporting Documents

Please fill out the supporting documents linked below. You may mail, fax, email, or deliver them in person to the following location:

Office of Admissions

1057 W. College Ave.

Independence, KS 67301

FAX: 620.331.0946

Main: 620.331.4100

Toll Free: 800.842.6063


FERPA Release Form