Last Name:
First/Preferred Name:
Preferred Pronoun:
Preferred Phone Number:
Personal Email Address:
Emergency Contact (First and Last Name):
Emergency Contact Phone Number:
Emergency Contact Relationship:
Is your commute time?
Technology Access:
Will you be using Financial Aid or Scholarships?
Will you be using GI benefits?
Are you interested in an on-campus Work Study position?
Please tell us a little more about your academic experiences:
I plan on attending college:
Major/Program:
Have you selected a major that you understand well, feel committed to, and are excited about?
Are you interested in any other majors/programs?
If yes, what other majors/programs?
What were your favorite subjects in High School?
What were your least favorite subjects in High School?
Classroom preferences:
Classroom preferences (continued):
I anticipate needing help with tutoring for some classes:
Please tell us a little more about your life experiences:
Veteran Status:
Unique Circumstances:
Transportation:
Housing:
First Generation Student (neither parent attended college):
Work:
Please provide some details about your work schedule (nights, weekends, etc.):
Are the people closest to you ready to provide you the support you need to focus on your studies and succeed?
Tell us about your interests (check all that apply):
Do you plan to request accommodations for your classes?
Help us understand a bit more about your requirements for accommodations (check all the apply):
Tell us about your career goals:
We want to make sure you have an exceptionally positive experience at Johnson College and would like to help you head off any barriers to your success (check all that apply):
I am interested in receiving more information about (check all that apply):
Do you have credits from another college or university that you would like reviewed for transfer credit?
If yes, have you submitted your transcripts for review?
Is there anything else you would like us to know?