IVCC Application

Admissions Address
Please submit your official high school transcripts and any official college transcripts to:

Admissions and Records Office
815 North Orlando Smith Avenue
Oglesby, IL 61348

  You can print this application form and mail or fax it to us! (Adobe Acrobat Reader is required.) 

Admissions and Records Office
815 North Orlando Smith Avenue
Oglesby, IL 61348
Fax: (815) 224-6091

Potential Nursing, Dental, or Therapeutic Massage Students: In addition to completing this application, there are additional steps to apply to these programs. Please visit the Limited Admissions web page for information on the additional requirements.

Potential International Students please do not use this form to apply to the college.  Please visit the International Students Web site first.

Note: Failure to fill in required fields will mean that your application can not be processed.  You do not need to fill out another application if you have applied within the last 5 years.

 

(no dashes) - *required

 

Term applying for

*required
*required

 

Legal Name

Legal Name
Last: *required
First: *required
Middle (full):
Previous Name/s
Former Last Name

Male or Female:

 

Address

Address
Postal Street Address or P.O. Box: *required
City: *required
State or District: *required
Zip Code or Postal Code: *required
County: *required
Country (if other than U.S.A.): *required

 

Phone 

If you do not have a cell number, please enter 000-000-0000 in the required Cell field.

Phone
Home: *required
Cell: *required
Work:
e-mail: I do not have an e-mail address.

 

Date of Birth

Date of Birth
Month: *required
Day: *required
Year: *required

 

Ethnic/Ethnicity

Are you Hispanic or Latino?

 

Are you from one of the following racial groups?  Select all that apply

 

 

U.S. Citizen

If not U.S. citizen, type of visa:

 

Intended Academic Program

Please choose only ONE program from the entire list below.

Transfer Degree Programs (Associate in Arts, Associate in Science, and Associate in Engineering Science):

Career/Vocational Degree Programs (Associate in Applied Science):

Career/Vocational Certificate Programs:

 

High School attending or attended

High School
Name: *required
City: *required
State or District: *required
Graduation Year: *required

 

Highest Education Earned (choose any that apply)

*required

If you picked "Finished GED" please tell us the year:

 

Other Colleges Attended (if applicable):

Other Colleges Attended
Name:
City:
State:
Date: From: To:

 

Other Colleges Attended
Name:
City:
State:
Date: From: To:

 

Other Colleges Attended
Name:
City:
State:
Date: From: To:

 

Education Goals (choose one)

*required

 

Admission Status (choose one)

*required

 

Student's native language if other than English

 

Person to contact in case of emergency

Emergency Contact
Name: *required
Phone: *required

 

Did either of your parents/grandparents attend college?

 

Are you a veteran?

If yes, please provide a date of discharge (Month/Day/Year preferred)

By submitting this form I understand that if I withhold or give false information on this application it may make me ineligible for admission to the college or subject me to dismissal.  I further certify that the above statements are complete and correct.  Illinois Valley Community College does not discriminate on the basis of age, religion, national origin, color, gender, mental or physical disability in admission to or its employment policies.

During peak periods response time may vary for your application to be verified and processed.

 

Please click submit only once.