Global Languages & Learning (GLL)Application

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Type of Application

In U.S. Studying OnlineIn U.S. Studying In PersonOutside the U.S. Studying Online (No U.S. Student Visa Required)

Student Information

First Name

Last Name

Middle Name

Preferred Name

Birthday

Primary Language

Emergency Contact Information

Emergency Contact (Legal Name)

Connection to Emergency Contact

Country Code

Emergency Contact Phone Number

Communication Opt-In

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I would like to receive SMS or email communications from Klamath Community College in the future.

Country Code

Mobile Phone Number

Enter phone number without spaces or separating characters. ex. 5418823521

Preferred Method of Communication

Demographic & Other Information

Race (Optional)

Black or African American	Native American	Asian	Pacific Islander
White	Other

Gender

Ethnicity

How did you learn about KCC?

Friend or FamilyWebsiteSocial mediaOther

Residence and Educational Information Collection

Residence Information

Mailing Address

Mailing City

State

ZIP Code

International Residence Information

Country of Birth

City of Birth

Current Address

Country of Citizenship

Educational Background

Highest Grade Level Completed:

Example: Junior Year of HS = 11

High School Graduation Date

Highest Diploma/ Degree Earned

Course You Are Applying To

Anticipated Start Term

Hidden Fields

Contact Information