Student Admission Form Step 1

Fields marked with an asterisk () are required.

Legal First Name:     MI:     Legal Last Name:      Suffix:  

Preferred First Name:        Display Name:

Date of Birth:  Month:     Day:     Year:  

In order to take advantage of our online admission process, you must provide a Social Security Number (SSN). Once received, you will be issued a unique LLCC ID number that will be used to identify you in our system. If you do not wish to provide a SSN or do not have a SSN, you may complete the Admission Worksheet in person at any of our locations. Failure to provide an accurate SSN may have implications to your taxes and your financial aid.
Social Security Number:   - -