Linn State Technical College -

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Admissions

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Linn State Technical College
Online Application

Please fill out the information below and then press the submit button at the bottom of the page.
This form will be sent to the Office of Admissions and will be held in confidence.

Social Security Number

Legal Name:	Last Name
	First Name
	Middle Name
	Maiden Name

Permanent Address and Telephone Number:
(This address will be used for all College correspondence prior to your first registration)

Address
City
County
State
Country
Zip
Phone (with area code)
Cell Phone (with area code)
Email Address

Emergency Contact Information

Last Name
First Name
Middle Name
Relationship to you
Phone (with area code)
Address
City
State
Zip
Country

College Information:

Applying for

I am a first-time college student: Yes No

I am a previous Linn State Technical College Student? Yes No

I previously attended in (year):

I am a transfer student? Yes No

Date of Birth:

City, State, Country of Birth:

Are you a US Citizen?

Gender (Optional):

Ethnic Origin (Optional)
(Non-Citizen Permanent Residents of U.S. must designate ethnic origin other than Non-resident Alien.)

American Indian / Alaskan Native
Asian or Pacific Islander
Black Non-Hispanic
Hispanic
White Non-Hispanic
Non-Resident Alien (F or J Visa)
Other
No response

Is English your first language? Yes No
If No, what is your first language?

Choose from among these PROGRAMS offered at LSTC:
(AAS=Associate of Applied Science)

Please contact the Financial Aid Office at 573-897-5000 or www.linnstate.edu/financialaid/default.asp regarding the Free Application for Federal Student Aid (FAFSA).

If interested in on-campus housing, a separate application must be submitted. If you would like to receive an application for Housing, you may contact the Resident Manager at 573-897-5165 or click here.

Education Information

Currently Attending High School
OR

Graduated from:
High School Name:
High School MOSIS Number
City, State, Zip:

Is your high school a designated A+ School and are you eligible to receive A+ benefits?
Yes No

Date of High School Graduation or Expected Date:

Area Career Center attended (if applicable):

If you have taken the GED, indicate date: State:
Please have the issuing state submit your official GED test results to the Office of Admissions.

Please list the name and location of all colleges attended, the dates of attendance, degree earned or expected prior to enrollment at LSTC beginning with the most recent. If you have not attended any other college, write NONE. If currently enrolled, write CURRENT in "Dates of Attendance."

Name of Collegee
Location (City & State)
Dates of Attendance
Degrees Earned
Degree Date

Second College (if needed)
Name of College
Location (City & State)
Dates of Attendance
Degrees Earned
Degree Date

Third College (if needed)
Name of College
Location (City & State)
Dates of Attendance
Degrees Earned
Degree Date

Honors, High School Extracurricular Activities, and/or Work Experience

Comments or questions:

Please make sure the form is filled out completely before submitting.
For information about on-campus housing please click here.

To the best of my knowledge and belief, the information given in this application is complete and accurate. If admitted, I WILL comply with all the rules and regulation of the college.

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