2016-2017 Admissions Application
Admission requirements for all students
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No barriers exist in meeting high school graduation requirements.
No documented pattern of behavior or discipline problems.
Junior class standing at the time of program entrance.
Must be able to provide own transportation. No busing will be available.
Admission requirements for full admission
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Students must have a 3.0 on a 4.0 scale secondary school cumulative GPA.
COMPASS or ACT scores reflect that the student is college ready.
COMPASS: 80 or better on Reading, 81 or better on Writing (or 69 or better with an e-write of 6 or
better), and 65 or better on the Algebra portion of the Math COMPASS.
ACT: 18 or better on Reading, 18 or better on Writing, and 21 or better on Math.
Attendance records are positive (less than 15 total days for the three previous semesters or a 95%
attendance rate).
Positive recommendation from a high school counselor, principal or teacher(s).
A grade of “C” or better in Algebra I and Geometry, or equivalent mathematics courses.
A grade of “C” or better in Earth Science and Biology, or equivalent science courses.
Admission requirements for provisional admission
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Students who have a minimum 2.75 on a 4.0 scale high school cumulative GPA will be evaluated on
a case by case basis.
COMPASS or ACT scores reflect that the student is college ready.
COMPASS: 80 or better on Reading, 81 or better on Writing (or 69 or better with an e-write of 6 or
better), and 65 or better on the Algebra portion of the Math COMPASS.
ACT: 18 or better on Reading, 18 or better on Writing, and 21 or better on Math.
Attendance records are positive or can be explained by counselor as being “situational” or beyond
the student’s control.
Recommendation of high school counselor, principal, or teacher(s) that provides insight/reasoning as
to why academic performance did not meet program admissions standards.
A grade of “C” or better in Algebra I and Geometry, or equivalent mathematics courses.
A grade of “C” or better in Earth Science and Biology, or equivalent science courses.
Provisional students must agree to actively participate and show potential in an academic
enhancement program.
Academic deficiencies are the responsibility of the student and must be completed prior to start of
the 2nd year of the program. This would include courses such as: Health, Phys. Ed, and requirements
unique to the student’s residency associate school. Financial responsibility for correction of
deficiencies rest with the student or student’s parents.
Special Considerations
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Non-traditionally educated students from an accredited (home school, charter school, ECOT, etc.)
program/institution will be evaluated on a case by case basis. Transcripts for these students will be
evaluated by their residency associate school to determine eligibility for College-NOW minimum
entry requirements.
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Social Security Number
Ms.
Mr.
_____
MI
First Name
Last Name
Street Address
City
Home High School
Home Phone
Date of Birth (mo/day/yr)
Parents Email Address
State
)
or
Zip Code
Informal Name
Dates You Have Lived In Ohio (choose one)
Birth to Present (
(required)
from (mo/yr)________
to (mo/yr)________
Student Status: New – College NOW student ( x )
In order to facilitate the processing of your application and to provide statistical information required by state
and federal government agencies, the College is requesting that each application provide the following
information. Your decision to answer the following questions is optional and will in no way influence your
admissions status. This information will be held confidential and is used only for statistical research.
Gender:
Are you married?
Are you a U.S. Citizen?
Female (
Yes ( )
Yes (
)
)
Male ( )
No ( )
No ( )
If you are not a U.S. citizen, please complete the following:
Country of Birth:
Non Immigrant: (
________________________________
Indicated expected or current visa type: ________
(e.g: F-1, J-1, etc)
Permanent Resident: ( )
Indicate alien/file number A:_____________________
)
Race: Please choose at least one of the following:
White: ( )
Black/African American: ( )
Hispanic/Latino: ( )
Asian American: ( )
American Indian/Alaska Native: ( )
Native Hawaiian or other Pacific Islander: ( )
Please indicate your MOTHER’S and FATHER’S highest educational level
MOTHER
( )
( )
( )
( )
( )
FATHER
( )
( )
( )
( )
( )
Did not complete high school
Graduated from high school or earned G.E.D.
Attended college but did not graduate
Earned an associate’s degree (two year college)
Earned a bachelor’s degree or higher
2
What is your primary reason for attending College NOW at this time?
(you may select more than one if they apply)
( )
To gain skills necessary to obtain a job
( )
To graduate with a two-year associate Engineering Technologies degree
( )
To prepare for transfer to a four-year college in Engineering
( )
To gain college credit without the intent of pursuing Engineering
Which of the following had the most influence on your decision to enroll in the College
NOW program? (please check only one)
(
(
(
(
(
(
)
)
)
)
)
)
Student Status:
Intended Major Code:
College-Now Director
High School Guidance Counselor
My parents
My friends / other students (word of mouth)
The Career Leader / Newspaper
Other: _______________________________
Entering Fall Semester of year ___________
( x )
AAS- Integrated Engineering
Expected Year of High School Graduation:
_______________
Person to notify in case of an emergency:
Name: ______________________________
Phone Number: _________________
Relationship to student: _________________________________________________________
I verify that the information given on this application is accurate to the best of my knowledge and recognize
that deliberately giving false information can be grounds for withdraw from the College and College NOW
program. I also authorize the release of any enrollment and/or course attendance and grades information to
my parents (guardians), my high school, and the State Department of Education.
Student Signature: __________________________________Date:___________________
Parent Signature: __________________________________Date:___________________
Your application must be mailed to:
In addition to this application, students must
also apply online at www.pctc.k12.oh.us/
North Central State College
Attn: Darcy Carns
2441 Kenwood Circle
Mansfield, OH 44906
Questions? Call 419.755.5693
Received by DLC: ___________________________
Date
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