Admission Application
Applying is quick and easy with the student admission form!

Student Admission Form Step 1

Fields marked with an asterisk () are required.

Legal First Name:     MI:     Legal Last Name:      Suffix:   None Jr. Sr. I II III IV Ph.D. M.D. Ed.D. J.D. R.N.

Preferred First Name:  

Date of Birth:  Month:   January February March April May June July August September October November December   Day:   01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Year:   2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923

In order to take advantage of our online admission process, you must provide a VALID 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:  

Failure to provide an ACCURATE SSN may have implications to your taxes and financial aid and will most likely result in the REJECTION OF YOUR ADMISSION APPLICATION.