SOUTH SUBURBAN COLLEGE OF COOK COUNTY
15800 South State St. • South Holland, IL 60473 • (708) 210-5718 • www.southsuburbancollege.edu
Due to Federal regulations, this form must be filled out in black ink. Due to Illinois Community College Board (ICCB) regulations, all credit and non-credit students must complete an application.
Please Note: Under the Federal Educational Rights and Privacy Act (FERPA) all applications and transcripts issued to South Suburban College become property
of the College. Some curricula have additional admission requirements. For more specific information, see the College catalog.
Name: LAST
FIRST
MIDDLE INITIAL
If you have PREVIOUSLY attended school using another name, please indicate your other name(s). Home Address: Home Phone: (
STREET
APT. NO.
)
Alternative Phone: (
Social Security Number: Are You a U.S. Citizen?
—
CITY
)
—
STATE
ZIP CODE
E-mail address: Date of Birth: Sex: m MALE m FEMALE
m YES m NO
m YES m NO
If YES, are you naturalized?
If you are NOT a U.S. citizen, indicate one of the following:
m Permanent Resident, Alien registration number
A
m If not a permanent resident, what is your visa status and type: Country of Origin: Expiration Date: All naturalized citizens and non-citizens must submit current valid documentation of status and classification.
The purpose of this request is solely for compliance with Federal Civil Rights Law and ICCB
mandate. Your response will not affect consideration of your application. By checking the
following, you will help us to assure that students are served in a non-discriminatory manner.
1
Ethnic/Ethnicity
5
Are you Hispanic or Latino?
m Yes
m No
Please select one or more racial groups with whom you identify:
m American Indian or Alaskan Native
m Asian
m Black or African American
m Native Hawaiian or other Pacific Islander
m White
6
7
Transfer plans: (choose one)
m High School Diploma
Name of High School or County of GED:
City State Date Graduated I previously attended another college or university: m YES m NO
If YES, fill in below:
College or University
State College or University
City State College or University
City 8
m 1. I have plans to transfer to the following four-year college:
m Some College
City m
m
m
m
m 1st Professional
m Master’s Degree
m Other
1. To prepare to transfer courses to a four-year college or university.
2. To improve skills for my present job.
3. To prepare for a future job immediately after attending SSC.
4. To improve basic skills (ESL, GED, Human Success or complete high
school diploma).
m 5. For personal interest/self development — not career oriented.
m 6. Unknown.
3
m Certificate
m Associate Degree m None
My primary reason for attending South Suburban College at this
time is: (choose one)
m Doctoral Degree
m Bachelor’s Degree m GED
Please identify your primary racial/ethnic group. Select One
m American Indian or Alaskan Native
m Asian
m Black or African American
m Native Hawaiian or other Pacific Islander
m White
2
Choose highest education level previously attained:
State Parental Education Background: (select one for each)
Mother: Father: Please indicate college/university name & state
A. Not a high school graduate
B. High school graduate
C. Some college/Associate degree
m 2. I have plans to transfer; my college choice is undecided.
m 3. I do not plan to transfer to another four-year college or university.
m 4. I am unsure of my plans.
D. Bachelor’s degree
E. Higher
U. Unknown
Choose ONE of the following:
4
m
m
m
m
m
m
m
m
I am currently a high school student.
I am seeking my GED.
I am in the Human Success program.
I am in the ESL program.
I am currently enrolled in a degree program at another university/college.
I am taking a course for personal interest only.
I am taking a course for professional development.
I am seeking a degree/certificate at SSC.
10
Are You a Veteran:
m NO m YES
I am seeking financial aid at South Suburban College:
m YES
m NO
Enter the Curriculum Code (use curriculum code page)
10
9
Enter the Area of Concentration (use curriculum code page)
I certify that the above information is true and correct to the best of my knowledge.
Signature ID#: —
—
Date If you have a documented disability and require services and/or accommodations, please contact the Counseling Center at 708/596-2000, ext. 2306 for more information.
For office use only:
Received Revised 6/10/09
Initials
Date
Completed Initials
Date
New Student
Admissions Checklist
First time students to SSC should stop by the Student Help Center,
Room 2348, for assistance with the admissions process:
1. Admission Application
Submit an SSC Admission application to Admissions area immediately.** Applications
are also available on the SSC website (www.southsuburbancollege.edu).
Date Completed: __/__/__
2. Transcripts
If you are a high school graduate, make sure that your high school has forwarded
your transcripts to SSC admissions. If you are a GED student, have your official GED
transcripts sent to SSC. In Cook County call 847-328-9795.
Date Completed: __/__/__
If you have attended other colleges, you must have your transcripts sent to SSC
Admissions if you wish to have your transcripts evaluated for possible transfer credit.
Two to three weeks after you request the transcripts, call the Admissions Office to
verify their arrival at 708-596-2000, ext. 2329 or 2490.
Date Completed: __/__/__
3. Financial Aid
If you want to be considered for Financial Aid, you must complete the Federal
Financial Aid Form. Bring the completed form to the SSC Financial Aid Office for
electronic processing, or you may apply online through the Internet at
(www.fafsa.ed.gov). Normal turnaround for this option is 7-10 business days.
Date Completed: __/__/__
4. Placement Testing/Group Advising/Counselor Appointment
New full-time college students may walk in for a Placement Test in Room 2266. If
you have taken a placement test at Prairie State, Moraine Valley, Kankakee or Joliet
Junior College, bring your Student Advising Report to the Assessment Center. Course
selection for your first semester at SSC will take place during a scheduled Group
Advising session.
If you attended college previously, you need to schedule an appointment to see a
counselor to discuss testing, college transcripts, and curriculum information. Please
call 708-596-2000, ext. 2306
Date Completed: __/__/__
**Some College programs, including Human Success, require a separate application for
admission. Check the College catalog for the program in which you are interested.
Questions? Call 708-596-2000, ext. 2329 or 2490 In Indiana Call 219-931-0096, ext. 2329 or 2490
South Suburban College of Cook County
15800 South State St. • South Holland, IL 60473 • (708) 210-5718 • www.southsuburbancollege.edu
Areas Of Concentration For An Associate In Arts Degree—This degree is for students who plan to transfer to a four year university to
pursue a bachelor’s degree in arts, humanities, or social or behavioral sciences.
02
04
06
10
12
Art
Communications (Radio and TV)
Drama (Theater)
Education (Elementary and Secondary)
English
U0051
Areas Of Concentration For An Associate In Science Degree—This degree is for students who plan to transfer to a four year university to
pursue a bachelor’s degree in one of the mathematical, biological or physical sciences.
53
55
57
61
Astronomy
Biology
Business (Accounting, Business, Finance,
Marketing & Management)
Chemistry
U0052
U0053
Associate In Fine Arts With Concentration In Art
Associate In Engineering Science Degree
Associate Degree Programs (AAS)
C0002
C0537
C0518
C0558
C0011
C0548
C0641
C0556
C0045
C0025
C0649
Accounting
Accounting Systems-Information
Management
Biomedical Electronics Technology
Building Code Enforcement
Building Construction Technology
Computer-Aided Design
AT AEC Option
MT MET Option
Corrections Officer/Youth Supervisor
Court Reporting/Verbatim Technology
Criminal Justice System
Electronics Engineering Technology
Fitness Professional
C0098
C0097
C0084
C0545
C0019
C0544
C0546
C0053
C0550
C0673
C0069
C0072
Forensic Science Technology
Graphic Design
Human Services Associate
Management-Administrative Asst.
Management Information Systems
Management-Manager/Supervisor
Management-Small Business
Management/Entrepreneurship
Marketing-Management
Marketing-Management/Fashion
Merchandising
Network & Computer Technology
Nursing Associate Degree Program (ADN)
Occupational Therapy Assistant
C0028
Office Administration & Technology
Associate (Area of Concentration):
AC
ADM Support Corporate Emphasis
M
ADM Support Medical Emphasis
CP
Certified Professional Secretary
Emphasis
C0531
Paralegal/Legal Assistant
C0079
Radiologic Technology
C0528
Teacher Aide/Child Development
C0560
Teacher Aide/Child Development
Professional Nanny
C0526
Teacher Aide/Special Education Associate
C0653
Web Master
Certificates
C0003
C0083
C0559
C0547
C0541
C0017
C0627
C0020
Accounting
Administrative Support
Building Code Enforcement
CAD Architectural Engineering Construction
Technology
CAD Mechanical Engineering
Clerical
Coding & Billing Specialist
Computer Information Sciences
C0605
C0046
C0647
C0604
C0044
C0322
C0022
C0054
Court Reporting/Verbatim Technology
Criminal Justice System
Fitness Specialist
Machine Shorthand Secretarial
Management-Administrative Asst.
Management-Manager /Supervisor
Management-Small Business
Management/Entrepreneurship
Marketing-Management
C0543
C0603
C0539
C0532
C0529
C0077
C0087
Marketing-Management, Fashion
Merchandising
Medical Assistant
Microcomputer Applications
Paralegal/Legal Assistant
Pharmacy Technician
Practical Nursing (PN)
Teacher Aide
C0588
C0629
C0608
C0624
C0622
C0623
C0004
C0572
C0099
C0621
C0582
C0576
C0563
C0625
C0613
C0669
C0602
C0617
C0566
C0606
Accounting Paraprofessional
Addictions Counseling
Administrative Assistant
Advanced AEC (CAD)
Advanced Mechanical (CAD)
Basic AEC (CAD)
Bookkeeping
Basic Electricity
Basic Graphic Design
Basic Mechanical (CAD)
Basic Office Skills
Biomedical Electronics Technology
Building Rehabilitation
CADD Technical Publishing
Cisco Network Technician
Communication Skills for the
Entrepreneur
Computerized Accounting
Concrete & Framing Inspections
Construction Supervision & Management
Court Reporting/Verbatim Technology
C0574
C0656
C0616
C0026
C0639
C0607
C0590
C0598
C0648
C0667
C0661
C0666
C0668
C0565
C0658
C0642
C0615
C0597
C0601
Digital Electronics
E-Commerce
Electrical Inspections
Electronics Engineering Technology
Emergency Medical Technician
Entrepreneurial Express
Entrepreneurship
Fashion Merchandising
Fitness Assistant
General Contracting
Global Supply Management
Help Desk
Home Inspections
Home Maintenance
MRI Program (Magnetic Resonance
Imaging)
Massage Therapy
Mechanical Inspections
Microcomputer Programming
Microcomputer Tools
C0638
C0663
C0564
C0664
C0523
C0644
C0614
C0632
C0593
C0612
C0591
C0589
C0085
C0609
C0662
C0600
C0665
C0655
Microsoft Office Suite Tools
Microsoft Network Technician
New Residential Construction
Novell Network Technician
Nurse Assistant Training Program CNA
Phlebotomy
Plumbing Inspections
Professional Child Care
Programming in BASIC
Programming for Windows
Real Estate
Retailing
Sign Language
Supervisor Skills
Supply Side Management
Tax Preparer
Unix Network Technician
Web Programming
Transfer Degree Programs (AAS)
U0050
Basic Certificates
Key to Curriculum Codes
14
16
22
26
28
63
67
71
73
75
Spanish (Foreign Language)
History
Liberal Arts
Philosophy
Political Science
30
32
34
48
Computer Information Systems
Economics
Geography
Geology
Health Science/ Physical Education
U0054
B0101
77
81
87
89
99
Psychology
Sociology/Anthropology
Speech
Undecided
Mathematics
Physics
Education (Secondary)
Pre-Pharmacy
Undecided
Associate In Fine Arts With Concentration In Music
Not a degree candidate at SSC —Temporary Student
revised 8/09