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Residency Determination
Before applying you must complete the Residency Determination. RDS will provide you with a Residency Certification Number (RCN) and a summary of the information you entered. Your RCN will be required to complete your JCC admissions application. To determine residency, link to Residency Determination

RCN Number: *
NAME AND ADDRESS
Student Name
Last name:*
First name:*
Middle name:
First name:
Last name:
   * = Required
Permanent Address
Street:*
City:*
U.S. state/territory:*
Zip code:
Country:
Int'l postal code:
Telephone Number where you can best be reached:* (###) ###-####
Work telephone: (###) ###-####
(###) ###-####
 
Campuses rely on e-mail to communicate updates about the application status. Please make sure to provide an e-mail address for an account that you check frequently.
E-mail Address:*
   * = Required
Mailing Address
If your mailing address is the same as your permanent address listed above, copy it here.
Applicant Information
Social Security number: ###-##-####
###-##-####
The Social Security number is requested by the institution solely for administrative convenience and record-keeping accuracy, and is required only to provide a personal identifier for the internal records of this institution. Please be aware that Financial Aid cannot be assigned without a valid Social Security Number on file at this institution. Providing the Social Security number is voluntary.
Your NC Student Number (formerly NC Wise ID) is your North Carolina public high school identifier number and is only applicable to North Carolina High School students. Providing the NC Student Number is required for participation in Career & College promise, and will give you the opportunity to request your high school transcript electronically. If you are a public school student and do not know your number, you will find it on your most recent report card or you may obtain your IF from your high school counselor. If you are a private school or home school student residing in the State of NC and you do not have a NC Student Number, you may obtain a Unique Identifier (UID) by contracting systems_accounting@dpi.nc.gov.

Private school and home school students who have attended a k-12 public school in North Carolina may have an NC Student Number already. If you have a transcript or report card from the last public school you attended, you will find the number located there, or you may telephone the school to obtain your ID number. If the school was last attended prior to the school's NC Student Number implementation, please use the link in the paragraph above to obtain a Unique Identifier (UID).
Date of birth:* mm/dd/yyyy
The following information will not be used in a discriminatory manner. This data is used for statistical purposes only.
Gender:*
Ethnicity
  Hispanic/Latino: Mexican, Puerto Rican, Cuban, Central or South American or other Spanish origin or culture, regardless of race
Race






 
Citizenship
Select the appropriate designation:*
If you selected "US Citizen", please skip to the Residency Section.
If non-U.S. citizen, select country of citizenship:
Permanent Resident number:
Visa type:
mm/dd/yyyy
mm/dd/yyyy
   * = Required
Residency Information
RCN Number: *
Are you a North Carolina resident?*
If yes, select your county of residence:
Have you lived in North Carolina continuously for the past twelve months?*
If no, which state or country have you lived in for the past twelve months?  
U.S. state/territory:
Country:
I have lived in North Carolina since: mm/dd/yyyy
Military Service
Have you served in the U.S. Armed Forces?*
Are you eligible for VA education benefits?
Are you active duty military or a military dependent?*
If active duty military: 
Where is your duty station?
Where is your home of record?
If military dependent: 
What is the expiration date of your military ID card? mm/dd/yyyy
Where is your sponsor's duty station?
   * = Required
Financial Aid
   * = Required
Emergency Contact
(###) ###-####
Emergency Notification
(###) ###-####
   * = Required
Family Information
   * = Required
ENROLLMENT INFORMATION
Enrollment term:*
Entrance status:*
Do you plan to enroll:*
Do you plan to attend during:*
Choose the program of study/major which you are interested in pursuing:*
Education goals (select what is your primary goal):*
Employment status while enrolled:*
   * = Required
EDUCATIONAL INFORMATION
Most Recent High School
High school:*
Street:*
City:*
(NC residents only)
U.S. state/territory:*
Country:
Graduation date or
last date attended:*
mm/yyyy
   * = Required
Education History
Highest educational level completed that best describes you:*
  AHSD (Adult High school Diploma) - Adults who did not complete their high school education but earned a high school diploma from a secondary school. An adult may earn a North Carolina Adult High School Diploma by completing twenty (20) units and by passing the North Carolina Competency Test in mathematics and reading. (Offered to students who did not graduate from high school.)

High School Equivalency Diploma - Four content area assessments: Language Arts, Mathematics, Science, and Social Studies which allow a test taker to demonstrate that s/he has attained the academic knowledge and proficiency of a high school graduate.
Students who received a High School Equivalency Diploma or AHSD must complete the fields below:
 
(NC residents only)
mm/yyyy
   * = Required
Other Colleges Attended
College/University:
Street:
City:
U.S. state/territory:
Country:
Dates attended: to: mm/yyyy
College/University:
Street:
City:
U.S. state/territory:
Country:
Dates attended: to: mm/yyyy
College/University:
Street:
City:
U.S. state/territory:
Country:
Dates attended: to: mm/yyyy
College/University:
Street:
City:
U.S. state/territory:
Country:
Dates attended: to: mm/yyyy
College/University:
Street:
City:
U.S. state/territory:
Country:
Dates attended: to: mm/yyyy
College/University:
Street:
City:
U.S. state/territory:
Country:
Dates attended: to: mm/yyyy
College/University:
Dates attended: to: mm/yyyy
College/University:
Dates attended: to: mm/yyyy
College/University:
Dates attended: to: mm/yyyy
College/University:
Dates attended: to: mm/yyyy

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