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Legal First Name

Legal Middle Name

Legal Last Name

Date of Birth

i.e. XX/XX/XXXX

MCC Student ID

MCC Email Address or Personal Email Address

Phone Number

What high school do you currently attend?

When do you expect to graduate from high school?

Which statement best describes your experience with MCC? I am currently taking an MCC course while in high school I have taken an MCC course within the past two years I'm not sure

Do you plan to continue taking classes at MCC after high school? Yes, I plan to continue at MCC I'm considering MCC, but I haven't decided yet No, I do not plan to continue at MCC

If yes, considering, or not sure, when do you plan attending MCC after high school? Summer 2027 Fall 2027 A later term Not sure

What Academic Focus Area are you interested in at MCC?

What Program of study within that Focus Area are you interested in?

Scholarships/Financial Aid/Grants Scholarships Student Loans Grants

Check all that you plan to apply for:

Your Goals Associate Degree Certificate I'm not sure

What type of credential are you interested in earning?

Is there anything else you'll like us to know about your plans or what you're interested in studying?

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