Application

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NamePlease use your legal full name. If your name has changed you will need to provide the Admissions Office with a driver's license and social security card with the new name. You can email admissions@dacc.edu or stop by the Registrar's Office in Vermilion Hall.
Please Select
Please Select
Mr.
Mrs.
Miss
Ms.
Prefix
Legal First Name
Middle Name
Legal Last Name
Previous Name(s) If you have attended DACC before or have transcripts under a different name, please list here.
Preferred/Chosen Name If you use a name other than your legal name, please list here.
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Email Address* This field is required.Please enter and verify your email address.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
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Are you homeless?* This field is required.
Yes
No
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AddressPlease enter your permanent legal, home mailing address: # and Street (Apt. #) or Rural Route & Box Number
Street Address
Street Address Line 2
City
State
Zip Code
County
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Alternate AddressPlease enter an alternate mailing address for required communications (financial aid, records, and business office.)
Street Address
Street Address Line 2
City
State
Zip Code
County
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Are you in the Foster Care System or have you aged out of the system?* This field is required.
Yes
No
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Phone NumberPlease enter your phone number with area code. (Note: Cell phone numbers will be used for the Emergency Text Alert system. Students may opt out.)
Please enter your primary phone number.
Please Select
Please Select
Cell
Landline
Work Number
Please select type of phone .
Please enter an alternate phone number.
Please Select
Please Select
Cell
Landline
Work Number
Please select type of phone.
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Personal Information
Date of Birth (Please enter in MM/DD/YYYY format.)
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Please Select
Female
Male
Legal Gender as reported on Birth Certificate (Required for Federal reporting.)
Please Select
Please Select
Woman
Man
Transgender
Non-binary/non-conforming
Gender not listed above
Prefer not to respond
Gender Identity: How do you identify?
Please Select
Please Select
SHE She/Her/Hers
HE He/Him/His
ZE Ze/Hir/Hirs
THEY They/Them/Their
NAME Use my name as pronoun
NOT Prefer not to respond
NONE No preferred pronouns
Personal Pronoun: What is your preferred personal pronoun?
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Emergency Contact Information* This field is required.Please provide the name and contact information of who should be contacted in case of an emergency.
Emergency Contact First Name
Emergency Contact Last Name
Please enter your Emergency Contact's phone.
Relationship to Emergency Contact (Parent, Legal Guardian, Friend, etc.)
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Ethnic/Race Classification* This field is required.Providing the information below will not be used in a discriminatory manner. These questions comply with Federal Regulation standards for ethnic and racial data collection.
Please Select
Please Select
Yes
No
Are you Hispanic or Latino? (OR Are you of Spanish origin?)
American Indian or Alaskan native
Black or African American
Asian
Native Hawaiian or Pacific Islander
White
Choose Not to Respond
Are you from 1 or more of the following racial/ethnic groups? (Select ALL that apply.)
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Admission Status* This field is required.
Please Select
Please Select
Summer 2025
Fall 2025
Spring 2026
What Term do you plan on starting in?
Please Select
Please Select
High School Student (Dual Credit, College Express, Middle College)
New Student
New Transfer from another college
Returning Student (Attended DACC Before)
Corporate & Community Education Enrollee
Admission Status (Choose one)
Please Select
Please Select
Complete 1 or more course(s)
Complete Certificate (1-29 hours)
Complete Certificate (30+ hours)
Complete Associate Degree
Educational Goal
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Please let us know what year of high school you are currently in.* This field is required.Please select one.
Senior
Junior
Sophomore
Freshman
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As a current high school student, what DACC program are you interested in?* This field is required.
Dual Credit
College Express
Middle College
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Primary Education / Career Goal* This field is required.
Career/Occupational (To prepare for the workforce)
Transfer / Baccalaureate (To prepare for transfer to four year college)
Personal Interest / No Degree or Certificate
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What Career Program or Major are you interested in?* This field is required.Please select the Career Program or Major that you are interested in.
Please select one.
Please select one.
Accounting - Career Certificate
Accounting - Career Degree
Advanced Manufacturing - Career Degree
Agribusiness - Career Degree
Applied Computer Science - Career Degree
Automotive Technology - Career Certificate
Automotive Technology - Career Degree
Barbering - Career Certificate
Barbering - Career Degree
Business Administrative Technology - Career Degree
Cancer Registry Management Certificate
CDL - Class A (Tractor/Trailer)
CDL - Class B (Commercial Driving)
Claims Representative - Career Certificate
CISCO - Career Certificate
CNC: Machine Tool Operator - Career Certificate
Computer Programming - Career Certificate
Corrections: Parole Officer Opt. - Career Certificate
Corrections: Parole Officer Opt. - Career Degree
Criminal Justice: Law Enforcement - Career Degree
Culinary Arts - Career Certificate
Digital Marketing - Career Certificate
Diagnostic Medical Sonography - Career Degree
Early Childhood Teaching Assistant - Career Certificate
Early Childhood: Childcare Opt. - Career Degree
Early Childhood: Paraprofessional - Career Degree
Echocardiography - Career Degree
Electronic Technology - Career Degree
Fundamentals of Auto Technology - Career Certificate
General Education Core Certificate (GECC)
Health Data Analyst - Career Certificate
Health Information Technology - Career Degree
Healthcare Billing Management - Career Certificate
HVAC - Career Certificate
Machine Tool Operations - Career Certificate
Maintenance Mechanic - Career Certificate
Maintenance Mechanic, Adv. - Career Certificate
Management - Career Certificate
Marketing - Career Degree
Mechatronics - Career Certificate
Medical Assistant - Career Certificate
Medical Coding - Career Certificate
Medical Office Assistant - Career Certificate
Medical Office Assistant - Career Degree
Medical Office Assistant, Adv. - Career Certificate
MFRG Engineering Tech - Career Degree
MFRG Engineering Tech: CAD Opt. - Career Degree
Networking and Cybersecurity - Career Certificate
Networking and Cybersecurity - Career Degree
Nursing (Level 1) - Career Certificate
Nursing Assistant (CNA) - Career Certificate
Nursing Assistant (CNA), Adv. - Career Certificate
Nursing, Associate Degree in Nursing
Nursing, LPN-RN PT Opt. - Career Degree
Office Assistant - Career Certificate
Office Assistant, Advance - Career Certificate
Paraprofessional Educator Grades K-12 - Career Degree
Quality Inspector - Career Certificate
Radiologic Technology - Career Degree
Small Business Ownership - Career Certificate
Social Media Marketing - Career Certificate
Speech Language Pathology Assistant - Career Degree
Sports Marketing - Career Certificate
Web Design - Career Certificate
Welding - Career Certificate
Welding, Adv. - Career Certificate
Wind Energy Technician - Career Degree
Other
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What Transfer Program or Major are you interested in?* This field is required.
Please select one.
Please select one.
Accounting
Advertising
Agribusiness
Agricultural Engineering
Agricultural Systems and Education
Agriculture
Agriculture Communications
Agriculture Marketing
Agriculture Mechanization
Agronomy
Animal Science
Anthropology
Applied Engineering Technology
Architectural Studies
Art
Art Education
Biology
Business Administration
Chemical Engineering
Chemistry
Civil Engineering
Communicative Disorders & Sciences
Computer Engineering
Computer Management
Computer Science
Construction Management
Criminal Justice
Criminology
Early Childhood
Economics
Electrical Engineering
Elementary Education
Engineering Technology
English
Finance
Forestry
General Studies
Graphic Design
Health & Wellness
Health Education
History
Horticulture
Insurance
International Business
Journalism
Justice Administration
Literature
Management
Marketing
Mass Media
Mathematics
Mechanical Engineering
Medical Imaging
Medical Laboratory Technology
Music
Nursing
Office Management
Paralegal Studies
Philosophy
Phlebotomist
Physical Education
Physics
Plant and Soil Science
Political Science
Pre-Dental
Pre-Law
Pre-Medicine
Pre-Occupational Therapy
Pre-Optometry
Pre-Pharmacy
Pre-Physical Therapy
Pre-Professional Health Careers
Pre-Veterinary Medicine
Psychology
Religion
Rhetoric
Secondary Education
Social Work
Sociology
Spanish
Special Education
Speech
Speech Pathology Education
Sports Management
Zoology
Other
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Personal Interest* This field is required.What class(es) are you interested in?
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Other* This field is required.What Transfer Program, Career Program or Major are you interested in?
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Citizenship Status* This field is required.What is your citizenship status? Please select one. (Note: There is a separate application for International Students. For more information about the International Student Application, contact our International Advisor at d.nasser@dacc.edu or visit www.dacc.edu/ar/international.)
U.S. Citizen
Not on a Visa / Not a U.S. Citizen
Permanent Resident (green card)
In U. S. on a Visa
Applying for a Student Visa
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Social Security Number* This field is required.Please enter your Social Security Number. A Social Security Number is a requirement for Federal reporting and possible tax deductions. You will be assigned a DACC College ID# for general use.
Please enter Social Security Number.
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Permanent Resident Card (green card)* This field is required.Please attach a copy of your Permanent Resident Card (green card).
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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Visa Information* This field is required.Please enter your Visa information below.
Type of Visa
Expiration Date of Visa (MM/DD/YYYY)
Country of Citizenship
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File / Copy of Visa* This field is required.Please attach a copy of your Visa.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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Social Security Number or TINIf you have a Social Security Number or TIN, please enter it here.
Please enter your Social Security Number
Please enter your TIN
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Military Information* This field is required.Please answer the Military questions below.
Please Select
Please Select
Yes
No
Are either of your parents a member of the Armed Forces AND on Active Duty?
Please Select
Please Select
Yes
No
Are you a veteran?
Please Select
Please Select
Yes
No
Are you a dependent of a veteran?
Please Select
Please Select
Yes
No
Is your spouse a veteran?
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High School Previously Attended or Currently Attending* This field is required.
Please select one.
Please select one.
Armstrong 13471
Bismarck 13518
Chrisman 13801
Covington 14607
Danville 13834
Danville Christian Academy 13835
First Baptist 13836
Fountain Central 15063
Georgetown-Ridge Farm 13956
High School Equivalency (GED) 37129
Hoopeston 14014
Jamaica 14375
Milford 14137
North Vermilion 36401
Oakwood 13928
Rossville 14349
Salt Fork 157237
Schlarman 306
Seeger 15089
Shiloh 14015
Westville 14479
Other
What High School did you previously attend or are currently attending? (Choose one)
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What is the name of your high school?* This field is required.
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High School Status* This field is required.
Please Select
Please Select
Currently in High School
Graduated from High School
Did not Graduate
High School (Choose one)
Expected Completion Date or Graduated MM/YYYY
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High School Equivalency (GED) Status* This field is required.
Please Select
Please Select
Currently in High School Equivalency
Graduated from High School Equivalency
Did not Graduate
High School Equivalency (GED) (Choose one)
Expected Completion Date or Date Graduated High School Equivalency (GED) MM/YYYY
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Highest Previous Degree EarnedPlease select one.
None
High School
GED Certificate
Some College / No Degree
Certificate
Associate Degree
Bachelor's Degree
Master's Degree
Doctoral Degree
Other
Unknown
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List All Colleges/Universities Previously Attended or Currently Attending
Name of School
City and State of School
Date Attended From / To (Month/Year to Month/Year)
Date Graduated (Month and Year)
Name of School
City and State of School
Date Attended From / To (Month/Year to Month/Year)
Date Graduated (Month and Year)
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Employment StatusPlease select one.
Employed Full-time
Homemaker
Employed Part-time / 15+ hours
Other
Employed Part-time / 1-14 hours
No Response
Unemployed / Retired
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Attendance GoalPlease select one.
Transfer to 4 Year College
Improve skills for job
Prepare for job in future
Prepare for GED
For personal interest
Unknown
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What is the highest degree/education level your mother/father/legal guardian completed?
Please Select
Please Select
None
High School
High School Equivalency (GED)
Some College
Associate Degree
Bachelor's Degree
Master's Degree or Higher
Parent 1 / Mother
Please Select
Please Select
None
High School
High School Equivalency (GED)
Some College
Associate Degree
Bachelor's Degree
Master's Degree or Higher
Parent 2 / Father
Please Select
Please Select
None
High School
High School Equivalency (GED)
Some College
Associate Degree
Bachelor's Degree
Master's Degree or Higher
or Legal Guardian
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Is English your native language?* This field is required.
Yes
No
36
Are you an Out-of-Workforce Individual?* This field is required.According to federal guidelines, an Out-of-Workforce Individual is an individual who a.) has worked primarily without payment to care for a home/family and, for that reason, has diminished marketable skills; OR b.) is a parent whose youngest dependent child will become ineligible to receive assistance under part A of Title IV of the Social Security Act (42 U.S.C. 601 et seq.) not later than 2 years after the date on which the parent applies for assistance under such title; OR c.) is unemployed or underemployed and is experiencing difficulty in obtaining or upgrading employment.
Yes
No
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Are you a single parent?* This field is required.According to federal guidelines, a single parent is either a single pregnant woman OR an individual who is unmarried or legally separated from a spouse and has a minor child or children for which the parent either has custody or joint custody.
Yes
No
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STATEMENT OF NON-DISCRIMINATION

Danville Area Community College does not discriminate in employment or educational opportunities, including career and technical educational opportunities, on the basis of race, color, sex, religion, age, national origin, ancestry, marital status, unfavorable discharge from military service (except dishonorable), mental or physical disability unrelated to the ability to perform essential program and job functions, veteran status, or any basis of discrimination precluded by the applicable federal and state statutes in its programs and activities. The College will take steps to essure that the lack of English-language proficiency will not be a barrier to employment, admission, and participation in CTE programs. Career and technical education courses/program offerings and admission criteria are on our web site, www.dacc.edu or by calling 217-443-3222.

The following person has been designated to handle inquiries regarding the non-discrimination policy: Jill A. Cranmore, Vice President, Human Resources, Affirmative Action Officer, Title IX Coordinator, and Section 504/ADA Coordinator, Danville Area Community College, 2000 E. Main St., Martin Luther King Memorial Way, Danville, IL 61832-5199, 217-443-8756, or j.cranmore@dacc.edu.
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PHOTOGRAPHY AND VIDEOS

Danville Area Community College may, from time to time, arrange for the taking of photographs or videos on the various campuses. It is the right of the College to do so. Photos taken are the property of the College and individuals depicted therein are not entitled to compensation or to restrict publication thereof.
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I VERIFY THAT THE INFORMATION ON THIS FORM IS TRUE.* This field is required.Please sign below.
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