SCC Online Application

Step 1 of 3

Student Name: *

First

Last

Student Current Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Student School Email: *

Confirm Email

Date of Birth: *

Gender: *

Ethnicity: *

Student Phone: *

Does Student have a driver's license? *

School District: *

Current Grade: *

High School: *

Program: *