APPLICATION FOR ADMISSION & SCHOLARSHIP APPLICATION WHO WILL YOU BE?

(1)

APPLICATION FOR ADMISSION

& SCHOLARSHIP APPLICATION

WHO WILL YOU BE?

(2)

We look forward to having you as a student at Wallace State. There are just a few steps that you need to complete in

order to enroll in college level classes. This checklist will help to ensure your college experience begins as smoothly

as possible. If you have any questions, please don’t hesitate to ask. Help is just a phone call away.

ADMISSIONS CHECKLIST:

J

ADMISSIONS APPLICATION

An admission application must be completed, signed and submitted to the Admissions Office. An application is included in this publication. Forms are also available in the Office of Admissions on the 1st floor of the James C. Bailey Commerce Center or may be completed online at our website:

www.wallacestate.edu. For more information please call the Admissions Office at 256/352-8236 or the Recruiting Office located on the 11th floor of the James C. Bailey Commerce Center at 256/352-8031.

J

OFFICIAL TRANSCRIPTS

Request a copy of your official transcripts from all high schools and colleges you have attended be sent to Wallace State Community College (WSCC) Admissions Office. If you have passed the GED examination, a copy of your certificate must be submitted to the Office of Admissions located on the 1st floor of the James C. Bailey Commerce Center. For more information please call 256/352-8236.

J

APPLY FOR SCHOLARSHIPS AND FINANCIAL AID

The first step to apply for Financial Aid is to complete a Free Application for Federal Student Aid (FAFSA) and a WSCC Scholarship Application. A scholarship application is included in this publication. FAFSA information is available online at www.wallacestate.edu. These forms are also available at local high schools and in the WSCC Office of Financial Aid located on the 1st floor of the James C. Bailey Commerce Center. You are encouraged to apply for Financial Aid by May 1 if you plan to attend WSCC in the Fall Semester or by September 1 if you plan to attend WSCC the following Spring Semester. The application deadline for WSCC scholarships is February 15 for fall term scholarships. For more information please call 256/352-8182 or 256/352-8137.

J

ATTEND LIONS’ PRIDE

Lions’ Pride Orientation sessions are conducted on the 1st floor of the James C. Bailey Commerce Center on specified dates prior to the start of the semester. At the conclusion of Lions’

Pride, you will be given the opportunity to meet with an advisor and discuss your educational plan. As part of this process, you will be authorized to register in the Office of Admissions or online. Contact the ACTION Center at 256/352-8040 for more information. For online registration visit us on the web at www.wallacestate.edu.

J

TAKE THE COMPASS PLACEMENT TEST

The purpose of COMPASS testing is to place you in the classes most appropriate to your academic ability. You will not be denied admission to WSCC based on your COMPASS scores;

however, you may need to enroll in preparatory classes before taking other higher-level courses. If you received a 20 or higher ACT English score and/or a 20 or higher ACT Math score within the last two years, this test may not be necessary. Walk- in test dates are conducted on Tuesdays, Thursdays, and Fridays from 7:30 a.m. until 2 p.m. For more information please contact 256/352-8040 or visit our ACTION Center located on the 8th floor of the James C. Bailey Commerce Center.

J

ACADEMIC ADVISEMENT

All students must complete the advisement process with their assigned academic advisor prior to registration for classes. You will need to bring your ACT scores or COMPASS placement scores with you. For more information please call 256/352-8040 or visit our ACTION Center located on the 8th floor of the James C. Bailey Commerce Center.

J

NEW STUDENT ORIENTATION

All entering freshmen are required to enroll in an orientation class designed to assist students in the transition to college (ORT101, ORT111, or ORT103). For more information please call 256/352-8040, contact your listed advisor, or visit our ACTION Center located on the 8th floor of the James C.

Bailey Commerce Center.

J

REGISTER FOR CLASSES

After you have determined your class schedule with an advisor, you are ready to complete your registration. Tuition and fees are paid in the Cashier’s Office located on the mezzanine level of the James C. Bailey Commerce Center. For more information, contact the Cashier’s Office at 256/352-8141.

J

PURCHASE BOOKS

About a month before classes begin, your textbooks will be available for purchase in the WSCC Bookstore. Cash, checks, VISA and MasterCard are accepted. For additional information please contact the WSCC Bookstore by calling 256/352-8100.

J

STUDENTS MUST BE PRESENT DURING THE FIRST WEEK OF CLASSES TO CONFIRM

ATTENDANCE.

(3)

APPLICATION FOR ADMISSION

WALLACE STATE COMMUNITY COLLEGE P.O. BOX 2000 • HANCEVILLE AL 35077-2000

Social Security Number: ___________-______-___________ Driver’s License Number: ____________________________

Name in Full: ____________________________________ Name Preferred: __________________________________

Address: __________________________________________ City: ____________________State:_____Zip:___________

Phone Number: (_______) ____________- ____________ E-mail: __________________________________________

Employer Name: __________________________________ Employer Address: ________________________________

Employer Phone Number: (_____) ________- __________ City: ____________________State:_____Zip:___________

Emergency Contact: ________________________________ Phone Number: (______)__________- ________________

Student’s Date of Birth:______________________________ Birth Place: ______________________________________

Have you attended any prior college?

J

^Y

J

^N Do you have a degree from a prior college?

J

^Y

J

^N

If yes, list college(s), dates, and degree(s): __________________________________________________________________

_____________________________________________________________________________________________________

Name of High School: ______________________________ Graduate?

J

^Y

J

^N

Graduation Date: __________________________________ Type of Diploma:

J

^Advanced

J

Occupational Did you pass the high school graduation exam?

J

^Y

J

^N

J

^Regular

J

Certificate

If not a high school graduate, do you have a GED?

J

^Y

J

^N Last high school grade completed: ____________________

Test location:______________________________________ Test date: ________________________________________

Race (for reporting purposes only):

J

White (Non-Hispanic)

J

Asian/Pacific Islander

J

^Hispanic

J

^Black

J

American/Alaskan Indian

J

Non-Resident Alien

J

^Other

Citizenship:

J

U.S. Citizen

J

Resident Alien

J

Exchange Student

J

Foreign Student VISA

J

^{Other VISA}

Are you an Alabama resident?

J

^Y

J

^N ^Sex

J

^M

J

^F Are you a veteran?

J

^Y

J

^N

Program of study?______________________________________________________________________________________

What is your educational goal?

J

Associate in Arts

J

Associate in Science

J

Associate in Applied Science

J

^Transfer

J

Accelerated High School

J

Dual Enrollment

J

Professional/Self-Improvement

J

^Transient

J

Audit (non-credit)

J

Certificate

For what term do you plan to enroll?

J

^Fall

J

^Spring

J

^Summer Year ______________________________________

The Alabama Legislature passed ACT No. 91-584, which requires eligible persons (males 18-26) to register for Selective Service in order to be enrolled. I certify that I comply with the provision of the U.S. Military Selective Service:

J

^Y

J

^N

Are you on suspension or probation from any college or university previously attended?

J

^Y

J

^N

If yes, please explain ____________________________________________________________________________________

Have you taken courses at Wallace State College before

J

^Y

J

^N If yes, last year of attendance __________________

Has your mother or father graduated from a 4-year institution?

J

^Y

J

^N

I hereby attest that the information given above is accurate and complete to the best of my knowledge. I understand that sub- mission of false or misrepresented information subjects me to refusal for enrollment, to dismissal, or to suspension as a student at Wallace State. I do hereby release and absolve Wallace State and its instructors or agents of any liability that might occur as a result of accidental injury during my tenure as a student. I further agree to assume responsibility for payment of tuition and fees, where applicable, as adopted by the Alabama State Board of Education.

Student Signature __________________________________ Date ____________________________________________

Entered in the computer by __________________________

Date entered ______________________________________

Wallace State Community College is an Equal Employment-Equal Education Opportunity Institution Accredited by Southern Association of Colleges and Schools.

(4)

Student Name: ____________________________________ SS#:_____________-__________- ____________________

Current Address: ______________________________________________________________________________________

City: ____________________________________________State:_______County: __________________ Zip:___________

Please read the following statements and check the one statement that applies to you and sign the bottom of the page.

______ I qualify as an in-state resident.

______ I am currently considered an out-of-state student. I certify that I do not meet any requirements to be classified as an in-state student. An out-of-state student cannot attain resident status simply by attending school for twelve months in the State of Alabama.

______ I have currently lived in the State of Alabama for less than 12 months. However, I certify that I possess

“more substantial connections” with the State of Alabama than any other state.

You are required to provide the following to the Admissions Office for certification before the in-state tuition rate is official.

1. Payment of Alabama state income taxes as a resident.

2. Ownership of a residence or rental property in the state.

3. Full-time employment in the state (self, spouse, or supporting person).

4. Voter registration and voting in the state.

5. Possession of state licenses (driver’s license and state license plates).

Other special circumstances will be considered on an individual basis.

I understand that in order to be eligible for resident tuition rates, the burden of proof lies with me. Appropriate documentation is attached in support of my request for eligibility for resident tuition rates. I agree to notify the college if there are any changes in the information submitted with this form.

________________________________________________ ________________________________________________

Signature of Student Date

WALLACE STATE COMMUNITY COLLEGE P.O. Box 2000 • Hanceville AL 35077-2000

CERTIFICATION OF ELIGIBILITY FOR IN-STATE

AND OUT-OF-STATE RESIDENCY

(5)

Thank you for your interest in attending Wallace State Community College. To request information about programs of study or general information, contact the Office of Student Recruiting & Activities at 256/352-8031 or 1-866-350-WSCC.

Scholarships are awarded on a competitive basis. Carefully read the requirements for the scholarship for which you are applying. Only completed scholarship applications with the required attached information will be considered. A WSCC application for admission, official transcripts, and a scholarship application must be on file at the college before a scholarship can be awarded.

Presidential Scholarships are available to students majoring in an academic field of study at WSCC. Presidential Scholarships are based on a combination of the ACT composite score, the cumulative grade point average, and an essay.

ACT plus grade point average must equal 30 (e.g., ACT 27 + GPA 3.0 = 30). The essay should be no more than 500 words and should be based on why you feel you are deserving of a scholarship and what you hope to accomplish as a result of receiving this scholarship.

Honors Scholarships are available to students who are seeking an intellectually challenging and creative college experience.

Through prescribed activities, including educational experiences, service learning, interaction with faculty members, and attendance at culturally enriching events, students are allowed an opportunity for academic diversity. This scholarship includes tuition, fees, and a book stipend. For more information contact LaDonna Allen at 256-352-8071 or

[email protected].

Academic Excellence Scholarships are available to students majoring in an academic field of study at WSCC. Academic Excellence Scholarships are based on the ACT composite score, cumulative grade point average, an essay, and two letters of recommendation. ACT score plus grade point average must equal 27 (e.g., ACT 24 + GPA 3.0 = 27). The essay should be no more than 500 words and should be based on why you feel you are deserving of a scholarship and what you hope to accomplish as a result of receiving this scholarship.

Leadership Scholarships are available to students majoring in an academic field of study at WSCC. Leadership scholarships are based on a combination of cumulative ACT composite score, cumulative grade point average, an essay, two letters of recommendation, and documentation of outstanding leadership and community service. ACT score plus grade point average must equal 24 (e.g., ACT 21 + GPA 3.0 = 24). The essay should be no more than 500 words and should be based on why you feel you are deserving of a scholarship and what you hope to accomplish as a result of receiving this scholarship.

Performing Arts Scholarships are awarded through the audition process. Auditions are held during the spring semester.

Contact the Music Department at 256/352-8277 for dates and application procedures.

Allied Health, Nursing, and Health Linkage Scholarships are available to students majoring in health care programs at WSCC. These scholarships are based on the ACT composite score, cumulative grade point average (3.0 or better), involvement in clubs and organizations, and/or volunteer experience in a health-care environment. If your chosen field requires a minimum ACT score, your ACT score must be equal to or exceed the required minimum score. Health Linkage Scholarships are designated for students who have begun their allied health care studies at one of the established linkage sites. All Allied Health, Nursing, and Linkage Scholarship recipients must meet all admissions criteria for the chosen field of study. Scholarships will be voided if the student is not formally accepted into the chosen field of study.

Career/Technical Scholarships are available to students majoring in a technical field of study at WSCC. Career/technical scholarships are based on technical achievement. If awarded a scholarship, you must take 75% of your classes in your major field of study. Additional academic classes may be taken toward an A.A.S. degree in the technical field.

WALLACE STATE COMMUNITY COLLEGE

SCHOLARSHIP INFORMATION

Presidential Scholarship . . . $5,760 (64 credit hours) Honors Scholarship: . . . $5,760 (64 credit hours) Academic Excellence Scholarship:. . $1,100 per semester Leadership Scholarship: . . . $1,000 per semester

Performing Arts Scholarship: . . . award amount varies Allied Health, Nursing &

Health Linkage Scholarship: . . . award amount varies Career/Technical Scholarship: . . . . award amount varies

(6)

Name: ______________________________________________________________________________________________

Last First Middle

Mailing Address: ______________________________________________________________________________________

City: ____________________________________________________________ State:___________ Zip: ______________

E-Mail: ______________________________________________________________________________________________

High School or GED: ______________________________ Date of Graduation: ________________________________

From the following four categories, mark the appropriate choice.

1.

J

PRESIDENTIAL

J

^HONORS

J

ACADEMIC EXCELLENCE

J

^LEADERSHIP

Proof of ACT score and a copy of your transcripts must be attached to the scholarship application for consideration. Please be sure to include all required documentation with your application. You must select one of the following majors.

J

Business Administration

J

Management and Supervision

J

Business Education

J

^Paralegal

J

Computer Science

J

Sports Medicine

J

Criminal Justice

J

Visual Communication

J

Liberal Arts/AS/AA transfer

J

Other____________________

J

^Undecided

2.

J

ALLIED HEALTH, NURSING, AND HEALTH-LINKAGE SCHOLARSHIPS

Proof of ACT composite score, cumulative grade point average, and documentation of outstanding leadership, community service, and volunteer work in a health-related field must be attached. You must select one of the following majors.

J

Child Development

J

Human Services

J

Clinical Laboratory Technician

J

Medical Assistant

J

Dental Assisting

J

^Nursing

J

Dental Hygiene

J

Occupational Therapy Assistant

J

Diagnostic Imaging

J

Pharmacy Technology

J

Diagnostic Medical Sonography

J

Physical Therapy Assistant

J

Emergency Medical Service

J

Polysomnographic Technology

J

Health Care Information

J

Respiratory Therapy 3.

J

CAREER/TECHNICAL SCHOLARSHIPS

A copy of your transcripts and two letters of recommendation must be attached to the scholarship application for considera- tion. You must select one of the following majors.

J

Agriculture/Horticulture

J

Diesel Mechanics

J

Auto Body Repair

J

Drafting & Design Technology

J

Auto Mechanics

J

Electronic Technology

J

Automotive Manufacturing Technology

J

Heating & Air Conditioning

J

Aviation Flight Technology

J

Precision Machining/CNC

J

Commercial Foods/Culinary Arts

J

Upholstery/Interior Refinishing

J

Cosmetology

J

^Welding

Detach scholarship application and attach required information. Application deadline is February 15. The completed scholarship application should be mailed to the following address:

Wallace State Community College Financial Aid Office

P.O. Box 2000

Hanceville, AL 35077-2000

SCHOLARSHIP APPLICATION

Wallace State Community College is an Equal Employment- Equal Education Opportunity Institution

Accredited by Southern Association of Colleges and Schools.

(7)

GIVE US A CALL!

General Information

1-866-350-WSCC

256/352-8000

Admissions

256/352-8236

Athletics

256/352-8121

Bookstore

256/352-8100

Dual Enrollment/

Honors Program

256/352-8050

Financial Aid

256/352-8182

Health Linkage Program

256/352-8172

Housing

256/352-8156

Placement Testing

256/352-8040

Student Affairs

256/352-8042

Student Recruiting/Tours

256/352-8031

Apply Online!

www.wallacestate.edu

Scholarship Deadline

February 15

Health Program

Application Deadline

June 15 (except for nursing)

Associate Degree Nursing

Application Deadlines

Fall Semester, May 30

Spring Semester, September 1

Practical Nursing

Application Deadline

May 30

HIGHLIGHTS:

• More than 50 programs of

study in academic, health,

and career/technical

disciplines, and an unlimited

number of transfer options

• One of the largest dual

enrollment programs in

Alabama

• Off-campus centers located at

Hayden and J.B. Pennington

high schools in Blount

County, Meek High School in

Winston County, and Brewer

High School in Morgan

County

• No. 12 in the nation in number

of health care graduates

• 15-time winner of ACCC

All-Sports trophy

• Only two-year aviation

program in Alabama

• Museum collection worth

more than $9 million

• Free Adult Education program

• University Center partnership

with Athens State offers

bachelor’s degrees on campus

• Alabama Technology Network

(ATN) Center for training in

business and industry located

on campus

• State-of-the-art learning

environments

• ACTION Center provides

student advising, testing, and

career counseling services

• More than 7,000 students

enroll each semester

• Outstanding job placement

and licensure rates

• STARS articulation system

guarantees transfer credit to

Alabama public colleges and

universities

• The WSCC campus is situated

on approximately 200 acres in

Hanceville, Alabama

ACCREDITATION:

Wallace State Community College (WSCC) is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools, 1866 Southern Lane, Decatur, GA 30033-4097; Phone number 404/679-4501.

NON-DISCRIMINATION POLICY:

It is the policy of the Alabama State Board of Education and Wallace State Community College, a postsecondary institution under its control, that no person shall, on the grounds of race, color, sex, religion, national origin, disability or age, be excluded from participation in, be denied benefit of, or be subjected to discrimination under any program, activity or employment.

www.wallacestate.edu

1-866-350-WSCC • 256/352-8000

(8)

“I WILL BE AN ACCOUNTANT.”

“I WILL BE AN ARCHITECT.”

“I WILL BE A GRAPHIC

ARTIST.”

“I WILL BE A CHEF.”

“I WILL BE A TEACHER.”

“I WILL BE AN ENGINEER.”

“I WILL BE A MUSICIAN.”

“I WILL BE A PHYSICAL THERAPIST.”

“I WILL BE A NURSE.”

“I WILL BE A PILOT.”

“I WILL BE A WELDER.”

“I WILL BE A DENTAL HYGIENIST.”