ANKENY • BooNE • CArroll • NEwtoN • UrBAN/DEs MoiNEs • wEst DEs MoiNEs
DMACC AT PERRY VANKIRK CAREER ACADEMY | DMACC CAREER ACADEMY, HUNZIKER CENTER, AMES CENTER FOR CAREER AND TECHNICAL DEVELOPMENT, DES MOINES | DMACC TRANSPORTATION INSTITUTE
DES MoINES AREA CoMMUNItY CoLLEGE
Application for Admission
Ankeny Campus
2006 S. Ankeny Blvd.
Ankeny, Iowa 50023-3993
515-964-6200
Boone Campus
1125 Hancock Drive
Boone, Iowa 50036-5399
515-432-7203
Carroll Campus
906 N. Grant Road
Carroll, Iowa 51401-2525
712-792-1755
Newton Campus
600 N. 2nd Avenue W.
Newton, Iowa 50208-3049
641-791-3622
Urban/Des Moines Campus
1100 7th Street
Des Moines, Iowa 50314-2597
515-244-4226
West Des Moines Campus
5959 Grand Avenue
West Des Moines, Iowa 50266-5302
515-633-2407
Frequently Called DMACC Numbers
Academic Records...515-964-6341
Admission Processing ...515-965-7337
Advisor/Counselor Appointment (for Ankeny) ...515-964-6200
Assessment Center ...515-964-6595
(For other campuses, call that campus directly)
Bookstore (for Ankeny) ...515-964-6302
or 515-964-6546
(For other campuses, call that campus directly)
Continuing Education ...515-964-6686
Credentials (Transfer Credit Evaluation) ...515-964-6647
or 515-965-7354
Disabilities Services Office ...515-964-6850
Evening Services Office (for Ankeny) ...515-964-6286
Financial Aid ...515-964-6282
or 515-964-6283
Information Center ...515-964-6200
Registration ...515-964-6800
Student Accounts ...515-964-6446
Tech Support ...515-965-7300
Contact us at www.DMACC.edu
or by calling 800-362-2127.
Section 1 . . . .Personal Information (Questions 1–11)
Question 3 . . . If your high school or college records appear under a different name, please indicate that name under “All Former Legal Last Name(s) .”
Question 4. . . Enter a valid email address . DMACC will use this to communicate important information .
Question 5 . . . . Enter your current living address .
Question 6 . . . . Enter all numbers where you can be reached .
Questions 9 & 10 . . . This information is required for federal and/or state reporting purposes .
Single parent is a person who (
1
) is either pregnant or has custody or joint custody of one or more child/children; (2) is also unmarried or
legally separated from a spouse .
Displaced Homemaker is a person who has been a homemaker exclusively but now because of divorce, death or disability of a spouse,
must prepare for paid employment .
Students who indicate their first language is not English may be required to meet ESL admission requirements .
Section 2 . . . .Planned Academic Program (Questions 12–13)
Question 12 . . . Program of Interest is sometimes referred to as a major course of study . If you are not sure about your program, visit with a counselor
or advisor before applying . There is a list of programs and groups on page 6 of this application packet .
Question 13 . . . Areas of Concentration: If you selected Liberal Arts as your Program of Interest, please indicate from the list below which area of
concentration you wish to pursue .
DMACC offers a wide range of concentrations and preprofessional offerings designed to prepare students for their transfer to four-year colleges and universities .
Graduates are awarded the Associate in Arts or Associate in Science degree with a major in Liberal Arts . Students who have determined which profession they
plan to enter should become familiar with the specific course requirements of the four-year institution to which they plan to transfer . Then with the help of an
academic advisor or counselor, students can select the curriculum best suited to satisfy their particular transfer objectives .
Accounting
Anthropology
Architecture
Art
Biology
Business Administration
Chemistry
Computer Science
Criminal Justice
Drama
English
Environmental Science
Fitness/Sports Management
Foreign Language
Geography
Global Studies
History
Humanities
Journalism
Literature
Mathematics
Music
Nursing
Philosophy and Religion
Physics and Astronomy
Political Science
Pre-Business
Pre-Dental
Pre-Education
Pre-Engineering
Pre-Law
Pre-Medicine
Pre-Pharmacy
Pre-Physical Therapy
Pre-Physician Assistant
Psychology
Social Work
Sociology
Speech
Undecided
Section 3 . . . .Admission Information (Questions 14–20)
Question 14 . . . . Make sure the Program of Interest you select offers classes during the semester you plan to enter DMACC .
Question 15 . . . . Make sure the DMACC location you select offers your Program of Interest . (Refer to page 6 of this application packet .)
Question 16 . . . . Refer to the Admission Steps Section for “Guest Student” definition .
Question 17 . . . Applicants seeking need-based financial aid are required to submit official high school or GED transcripts to DMACC before financial
aid will be processed .
Question 18 . . . Students who do not plan to receive a degree and check “No” will be categorized as a non-degree-seeking student and will not be
eligible for financial aid .
Question 19 . . . If you answered “Yes” to Question 18, see the definitions below for specific awards . The Program of Interest selected in Question
12
must agree with the award offered in the program . (Refer to page 6 of this application packet .)
(AA) Associate in Arts Degree provides the courses of study equivalent to those offered to freshman- and sophomore-level
students in most four-year colleges/universities .
(AS) Associate in Science Degree provides a program of college-level courses designed to prepare students for transfer to a four-year
college/university or for skills preparation for entry-level employment in a specific occupation where a bachelor’s degree is usually needed .
(AAS) Associate in Applied Science Degree is a two-year degree that may include fall and spring semesters plus summer
semesters and is designed to develop the student’s competence for employment in a specific occupational field .
(AGS) Associate in General Studies Degree provides students the opportunity to select their coursework to meet specific
educational goals and interests . It is generally not designed to meet college transfer requirements .
Thank you for applying to DMACC . Below are instructions to help you complete the application . Once your application is received, it will be processed as
soon as possible . You should receive communication from us within 5 working days, informing you of your admission status .
Current and Returning Students: If you have submitted an admission application in the past 3 years, you do not need to reapply for admission . Contact the
DMACC Admissions office about your status .
Admission procedures and entry requirements vary by program . Check our website for specific program details . (www.dmacc.edu/programs.asp)
Please note: Some programs accept a limited number of students . If you have met all of the program requirements and the program is full, you will be
placed on a waiting list until a seat becomes available .
Instructions For Completing Your Application For Admission To DMACC
Section 4 . . . .Iowa Residency Information (Question 22)
The Iowa Department of Education determines the requirements for all Iowa community colleges, which may differ from those at state universities .
In most instances, students will be considered residents of Iowa, for tuition and fee purposes, if they are permanently domiciled in Iowa and have resided in the
state for a period of not less than 90 days prior to the start of the semester in which they plan to attend . A Request for Determination of Residency Status Form
must be submitted before the first day of the semester along with documentation proving residency . Complete information may be found at
www.dmacc.edu/admissions/residency.asp . Applicants who are not residents of Iowa are required to submit official transcripts showing high school or GED
completion prior to acceptance at DMACC . If a degree was not obtained, students must pass the COMPASS – Ability to Benefit exam . Official college transcripts
may be used to meet this admission requirement as well . If you are not a resident of Iowa, provide proof of secondary education completion by submitting official
high school or GED transcripts. If you have attended another college or university and have credit to be counted toward program requirements, submit official
transcripts from those institutions.
Section 5 . . . .Secondary Education Information (High School or GED) (Questions 23–26)
Question 23 . . . List current or last high school attended . (If you have received your high school diploma from DMACC or another community college,
enter the name of the college as high school last attended .)
Section 6 . . . .College Education Information (Question 26)
Question 26 . . . List all colleges (including DMACC) previously attended, beginning with the most recent, in order of attendance .
TO ASSURE PROPER COMPLIANCE WITH STATE AND FEDERAL FINANCIAL AID REGULATIONS, STUDENTS WANTING
TO RECEIVE FINANCIAL AID WHILE ATTENDING DMACC WHO HAVE ATTENDED OTHER INSTITUTIONS, WILL NOT
HAVE THEIR AID PAPERS PROCESSED UNTIL ALL OF THEIR TRANSCRIPTS HAVE BEEN RECEIVED AND REVIEWED.
AN OFFICIAL TRANSCRIPT FROM EACH INSTITUTION ATTENDED MUST BE SUBMITTED DIRECTLY TO THE DMACC
ANkENY ADMISSIONS OFFICE. ALL DOCUMENTS SUBMITTED BECOME THE PROPERTY OF DMACC AND CANNOT BE
RETURNED TO THE STUDENT OR SENT TO OTHER INSTITUTIONS.
Admission Steps
NEW StUDENtS:
1 . Submit a completed DMACC application for admission .
2 . Submit ACT or COMPASS exam results to DMACC (Full-Time or
ESL only) .
3 . If you are not a resident of Iowa, provide proof of secondary education
completion by submitting official high school or GED transcripts .
4 . If you have attended another college or university and have credit to
be counted toward program requirements, submit official transcripts
from those institutions .
5 . Complete any program prerequisites for your specific program .
GUESt StUDENtS:
StUDENtS WHoSE PRIMARY ENRoLLMENt IS At ANotHER
CoLLEGE oR UNIvERSItY AND Do Not PLAN to ENRoLL IN A
PRoGRAM oF StUDY At DMACC.
1 . Submit a completed DMACC Application for Admission . Always
apply as Liberal Arts, no matter what your major .
2 . Provide proof of enrollment such as an acceptance letter or valid
student ID from primary school of attendance .
(Note: Guest students are not eligible for financial aid and must
remain part-time during fall and spring semesters.)
Diploma provides students the opportunity to satisfactorily complete a career or technical program that is typically one year long (that
may include three semesters) and includes at least one general education course in addition to courses designed to develop a person’s
technical skills and knowledge .
Certificate of Specialization provides students the opportunity to satisfactorily complete a shorter course of study in a vocational or
technical area, usually no longer than two semesters and usually designed to develop specific skills . Some certificate programs are too short to
qualify for federal financial aid .
Question 20 . . . . If you plan to transfer to another college or university, please indicate, using the school’s official name .
Instructions (Cont.)
HIGH SCHooL StUDENtS:
StUDENtS CURRENtLY ENRoLLED IN HIGH SCHooL WHo
PLAN to tAKE CoURSES At DMACC WHILE CURRENtLY
ENRoLLED IN HIGH SCHooL.
Juniors and Seniors—Complete steps
1
and
2
below if enrolling as a
part-time student . Complete steps
1, 2
and
3
if enrolling as a full-time student .
Freshmen, Sophomores and Home-Schooled Students—Complete steps
1
,
2, 3
and
4
. Freshmen and Sophomores are limited to no more than two
credit courses each semester and must remain part-time students .
1 . Submit a completed DMACC Application for Admission .
2 . Submit completed DMACC Permission Form for High
School Student .
3 . Complete COMPASS testing or submit ACT scores . Course
placement is based on the COMPASS or ACT scores .
4 . Meet with a DMACC advisor or counselor prior to registration .
Return to: Admissions office
Des Moines Area Community College
2006 S. Ankeny Blvd., Ankeny, IA 50023-3993
or apply online at
www.DMAcc.edu/applyonlinefull.asp.
Personal Information
Social Security NumberLegal Last Name (Family Name) First (Given Name)
Used for services such as transcripts, enrollment verification, tax reporting and financial aid. A DMACC ID number will be issued after your application is processed.
M.I.
All Former Legal Last Name(s)
Number and Street Address Apartment/Lot Number, etc.
City State ZIP
Email Address
Responses to all items are required for admission.
Please print legibly with a pen and stay in the boxes.
Home telephone
(Area Code) Telephone Number Male Female
Month Date Year
Cell Phone
(Area Code) Telephone Number
Birthdate Gender
Application For Admission
Section 1
1. 2. 3. 4. 5. 6. 7. 8.Which race are you? (You may select more than one)
American Indian or Alaskan Native Black or African American Asian Native Hawaiian or Other White Pacific Islander
Are you Hispanic/Latino? Yes No
Ethnic/Race Information 9.
Is English your first (native) language? Yes No
See page 2, section 1.
Are you a single parent? Yes No Are you a displaced homemaker? Yes No Did either of your parents attend college? Yes No Are you a U.S. Veteran, a reservist or
currently on active duty? Yes No Are you the spouse or dependent of a
U.S. Veteran or active duty personnel? Yes No
Personal Background 10.
Emergency Information
Address Apartment/Lot Number, etc. State ZIP
Relationship to student (Area Code) Telephone Number
Name someone to contact in case of an emergency
11.
City
Email Address
Planned Academic Program
Section 2
If you selected Liberal Arts in Question 12, what will be your Area of Concentration? (Refer to page 2, Section 2.)
Program of Interest (All programs are listed on page 6.)
12. 13.
Admission Information
Section 3
14. Semester you plan to start at DMACC
1. Fall 2. Spring 3. Summer Year:
DMACC location you plan to attend:
Ankeny Boone Carroll Newton Urban/Des Moines West Des Moines Ames Perry Southridge Online Only
I plan to enroll Full-time (12 credits or more) (Full-time summer is 8 credits or more.) Part-time (11 credits or less) (Part-time summer is 7 credits or less.)
As a Guest Student (students whose primary enrollment is at another institution)
15.
16.
17. 18.
If yes, indicate which award you are seeking:
Associate in Arts (AA) Degree Associate in Applied Science (AAS)
Associate in Science (AS) Degree Associate in General Studies (AGS)
Diploma
Certificate of Specialization
Do you plan to apply for need-based financial aid? (If yes, please submit official high school or GED transcripts and all college transcripts) Yes No Do you plan to receive an associate degree, diploma or certificate of specialization from DMACC? Yes No
19.
Secondary Education Information (High School or GED)
Section 5
23. Name and Location of High School Last Attended
City ZIP
Year of Graduation? _________________________ State
Have you graduated or will you graduate with a:
High School Diploma Home School Diploma GED Diploma
Adult High School Diploma None of the above
24. 25.
List all colleges (including DMACC) previously attended for credit courses in order of attendance
Section 6
College Name (most recent)
From Month/Year To Month/Year Type of Degree Earned City State
College Name
From Month/Year To Month/Year Type of Degree Earned City State
College Name
From Month/Year To Month/Year Type of Degree Earned City State
26.
TO ASSURE PROPER COMPLIANCE WITH STATE AND FEDERAL FINANCIAL AID REGULATIONS, STUDENTS WANTING TO RECEIVE FINANCIAL AID WHILE ATTENDING DMACC WHO HAVE ATTENDED OTHER INSTITUTIONS WILL NOT HAVE THEIR AID PAPERS PROCESSED UNTIL ALL OF THEIR TRANSCRIPTS HAVE BEEN RECEIVED AND REVIEWED. AN OFFICIAL TRANSCRIPT FROM EACH INSTITUTION ATTENDED MUST BE SUBMITTED DIRECTLY TO THE DMACC ANKENY ADMISSIONS OFFICE. ALL DOCUMENTS SUBMITTED BECOME THE PROPERTY OF DMACC AND CANNOT BE RETURNED TO THE STUDENT OR SENT TO OTHER INSTITUTIONS.
Section 7
SIGNATURE OF APPLICANT ______________________________________________________DATE_____________________
Des Moines Area Community College requests this information for the purpose of processing your application for admission. No persons outside the College are routinely provided this information. Responses to all items are required for admission. If you plan to receive financial aid assistance, additional applications must be completed and filed in a timely manner.
Des Moines Area Community College shall not engage in or allow discrimination covered by law. This includes harassment based on race, color, national origin, creed, religion, gender, sexual orientation, gender identity, age, disability and genetic information. Veteran status in educational programs, activities, employment practices, or admission procedures is also included to the extent covered by law. Individuals who believe they have been discriminated against may file a complaint through the College Discrimination Complaint Procedure. Complaint forms may be obtained from the Human Resources Department, the campus Provost’s office, or the EEO/AA Officer. Persons who wish additional information or assistance may contact the EEO/AA Officer, Human Resources, Bldg. 1, 515-964-6301. For requests for accommodations, the Accommodation/Section 504/ADA Coordinator can be contacted at 515-964-6857.
Are you a: U. S. Citizen U.S. Permanent Resident/Green Card Holder Refugee Visa Holder (Visa holders must fill out an International application.)
Admission Information (Cont.)
Citizenship and Residency Information
Section 3
Section 4
21.
I am a current resident of the state of _____________________________
22.
Page 5
If you are a United States Permanent Resident or Refugee, please list your country of origin _________________________________________ and provide a copy of your Permanent Resident card or I-94.
Iowa Residency Information
I CERTIFY THAT ALL STATEMENTS ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I AGREE TO ABIDE BY ALL APPROVED COLLEGE POLICIES AS OUTLINED IN THE CURRENT ISSUE OF THE COLLEGE CATALOG AND STUDENT HANDBOOK. I AGREE TO REPORT ALL CHANGES, INCLUDING NAME AND ADDRESS, TO THE STUDENT SERVICES OFFICE AT ANY DMACC CAMPUS WITH THE UNDERSTANDING THAT MY ADMISSION MAY BE DELAYED IF ALL CHANGES ARE NOT REPORTED. I UNDERSTAND THAT FALSIFICATION OR OMISSION OF INFORMATION IS SUFFICIENT CAUSE FOR DENIAL OF MY APPLICATION OR DISMISSAL FROM DMACC.
20.
UN. Undecided/unknown CC. Prepare to change careers IS. Improve skills for present job SI. Self-improvement CL. Meet certification or licensure requirements JM. Prepare to enter job market
PI. Personal interest EX. Explore course to decide on career TA. Transfer to another college or university Institution name?
4324-2-13-2000
Page 6
DMAcc Programs Available
Group Name/proGrams of INterest
award
Campus
Group Name/proGrams of INterest
award
Campus
aCCouNtING
Accounting & Bookkeeping Diploma B,U Accounting Certificate I Certificate A*,B,N*,U Accounting Certificate II Certificate A*,B,U Accounting Income Tax Preparer Certificate A, B,U Accounting Information Systems AS A,B,U Accounting Paraprofessional AS A,B,C,N*,U Accounting Payroll Certificate A,B,C,U Accounting Specialist AAS B,U
admINIstratIve assIstaNt/LeGaL/seCretarIaL
Administrative Assistant AAS A,B,C,U Information Processing Support Certificate A,B,C,U Legal Assistant AS, Certificate U Medical Insurance and Coding Certificate A Medical Office Specialist AAS, Diploma A Medical Transcriptionist Certificate A,B,C*,U Office Assistant Diploma A,B,C,N*,U Office Specialist Certificate A,B,C,N*,U Supervision Certificate A,B,N,U
aGrIbusINess
Agri-Business AAS A Agronomy Certificate A Animal Science Certificate A Farm Management Certificate A Sales/Service Certificate A Sustainable Agriculture Certificate A Veterinary Technology AAS A
automotIve/dIeseL
ASEP-General Motors AAS A ASSET-Ford AAS A Auto Auto Engines & Tune-up Diploma A Auto Chassis & Power Train Diploma A Auto Collision Technology AAS, Diploma A Auto Maintenance & Light Repair Diploma A*,U Auto Mechanics Technology AAS A,U* CAP-Chrysler AAS A
Caterpillar Technology AAS A Diesel Technology AAS, Diploma A Maintenance (Diesel) Certificate A
art—see GraphIC desIGN
Airbrush Art Certificate A Basic Visual Communications Certificate A Corel Painter Certificate A Digital Illustration Certificate A InDesign Certificate A Interactive Media for Graphic Design Certificate A Photography Diploma A Visual Communications Diploma A Graphic Design AAS A Graphic Technologies AAS A
bIoteChNoLoGy
Biotechnology AS A Environmental Science AA A,B,U Wastewater Treatment Technology Certificate A Water & Wastewater Treatment Technology Diploma A Water Environmental Technology AAS A Water Treatment Technology Certificate A
buILdING trades
Architectural Millwork Diploma A Building Maintenance Certificate A,N Building Trades Diploma A Electrical Construction Trades Diploma N Heating, Air Conditioning & Refrigeration Technology AAS, Diploma A
busINess
Business Administration AA, AS A,B,C,N,U,W Entrepreneurship Diploma, Certificate A,N*,U Fashion/Design AAS, Diploma, Certificate A Human Resource Management Certificate A Interior Design Consultant Certificate A Management AA, AAS, Certificate A,B*,N,U* Marketing AA, AAS A Mortuary Science Adv. Standing Diploma A Retailing Diploma, Certificate A Sales & Management Diploma, Certificate A
CoLLeGe traNsfer—LIberaL arts
Liberal Arts AA,AS A,B,C,N,U,W
CommuNIty servICe
Criminal Justice AA,AS A,B*,N*,U* Digital Forensic Investigation Certificate A Early Childhood Education AS, Diploma, Certificate A,U* Fire Science Technology AS A,U* Fire Specialist Certificate A,U* Human Services AS A,N*,U
Computer INformatIoN systems
Advanced Web Developer Certificate A Business Information Systems AAS A,B*,C*,U,W* Computer Applications Certificate A,B,U Computer Languages Certificate A,U*
Computer INformatIoN systems (CoNt’d)
Data Entry I Certificate A,B,C,U Database Specialist Certificate A,W E-Commerce Design Certificate A Informatics Certificate A
Information Technology/Network Administration AAS A,B*,C*,N*,U*,W* Management Information Systems AS A*,C*,U Microcomputers Certificate A,N*,U*,W
Network Security Manager Certificate A,U Web Developer Diploma, Certificate A Web Development AAS A
CuLINary arts/hoteL & dIetary maNaGemeNt
Culinary Arts AAS, Diploma A Dietary Manager Certificate A Enology Certificate A Hospitality Business Diploma A Hotel & Restaurant Management AAS A Viticulture Certificate A Wine Service Certificate A
draftING/desIGN
Architectural Technologies AAS, Diploma A Computer Aided Design Technology AAS, Diploma A
eNGINeerING teChNoLoGy
Civil Engineering Technology AAS B Electronic Systems Servicing Technology AAS A Electronics, Robotics & Automation AAS A Telecommunications Technology AAS W
fItNess & sports maNaGemeNt
Fitness & Sports Management AS B
GeNeraL studIes (Not CoLLeGe traNsfer)
Associate in General Studies AGS A,B,C,N,U,W
heaLth professIoNs
Adult Services Certificate A Advanced Standing Nursing AAS A,B Aging Services Management AS A Associate Degree Nursing AAS A,B,C Dental Assistant Diploma A Dental Hygiene AAS A Emergency Medical Technology—Basic Certificate A Gerontology Specialist Certificate A Health Information Technology AAS A Licensed Practical Nursing (LPN) Diploma A,B,C,N Long-Term Care Administrator Certificate A Long-Term Care Administrator—Practicum Certificate A Medical Assistant Diploma A Medical Laboratory Technology AAS A Optometric/Ophthalmic Technician Diploma A Paramedic Specialist AAS, Certificate A Pharmacy Technician Diploma A Phlebotomy Certificate A Respiratory Therapy AAS A Surgical Technology Diploma U
hortICuLture
Commercial Horticulture AAS A Greenhouse Production Certificate A Landscape Design Certificate A Turf Maintenance Certificate A
INterpretatIoN aNd traNsLatIoN
Interpretation & Translation AS U Interpretation & Translation—Business Certificate U Interpretation & Translation—Education Certificate U Interpretation & Translation—Health Care Certificate U Interpretation & Translation—Human Services Certificate U Interpretation & Translation—Judiciary Certificate U
LIberaL arts
Liberal Arts AA,AS A,B,C,N,U,W
maNufaCturING
Biomass Operations Technology Certificate C CNC Operator Certificate A Diemaking Diploma A Digital Publishing Certificate A Fluid Power Technology AAS, Diploma A Graphic Sales & Customer Service Certificate A Industrial Electro-Mechanical Technology AAS A,B*,C*,N* Machinist Technology Diploma A,N Manufacturing Technology AAS A,N Printing Technologies Certificate A Tool & Diemaking AAS A Welding Diploma A Welding—Blueprint Reading Certificate A Welding—Gas Metal Arc Certificate A Welding—Gas Tungsten Arc Certificate A Welding—Oxy-Acetylene Certificate A Welding—Pipe Welding Certificate A Welding—Shielded Metal Arc Certificate A Welding—Structural Welding Certificate A
Campus Codes: (A) Ankeny • (B) Boone • (C) Carroll • (N) Newton • (U) Urban/Des Moines • (W) West Des Moines
AA = Associate in Arts Degree; AS = Associate in Science Degree; AAS = Associate in Applied Science Degree; AGS = Associate in General Studies Degree
Type of Degree Earned Type of Degree Earned
Are you a: U. S. Citizen U.S. Permanent Resident/Green Card Holder Refugee Visa Holder (Visa holders must fill out an International application.)
