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ICC Now Application

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

= Required

Thank you for your interest in Independence Community College. We are excited to have you!

Please complete all fields below.

Personal Information

Social Security Numbers must be provided in order to be eligible to receive a 1098T tax form for tax credits and receive the ICC NOW tuition scholarship. 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
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
Campus
Emergency Contacts

Education History

In the section below please enter your graduation date (end date), your high school(institution name), and the city/state of your high school. If you have attended a previous college, click on "Add Another Degree" to add the institution.


  1. Degrees

     

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 and return the documents to the ICC NOW representative at your high school.

FERPA Release Form

Parental Consent Form