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    Virginia Highlands Community College Application For Admission

    Uploaded by

    leonel
    Robin Wells submitted an application for admission to Virginia Highlands Community College for the 2018 Spring term to pursue a plan in Diesel Mechanic-CSC. The application provides her personal details such as name, date of birth, address, education history, and residency information. Based on her residency, Robin will be charged out-of-state tuition rates and has been assigned Keith Harless as her advisor.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Virginia Highlands Community College Application For Admission

    Uploaded by

    leonel
    51 views6 pages
    Robin Wells submitted an application for admission to Virginia Highlands Community College for the 2018 Spring term to pursue a plan in Diesel Mechanic-CSC. The application provides her personal details such as name, date of birth, address, education history, and residency information. Based on her residency, Robin will be charged out-of-state tuition rates and has been assigned Keith Harless as her advisor.

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    wells_robin_02729964

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    Robin Wells submitted an application for admission to Virginia Highlands Community College for the 2018 Spring term to pursue a plan in Diesel Mechanic-CSC. The application provides her personal details such as name, date of birth, address, education history, and residency information. Based on her residency, Robin will be charged out-of-state tuition rates and has been assigned Keith Harless as her advisor.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    51 views6 pages

    Virginia Highlands Community College Application For Admission

    Uploaded by

    leonel
    Robin Wells submitted an application for admission to Virginia Highlands Community College for the 2018 Spring term to pursue a plan in Diesel Mechanic-CSC. The application provides her personal details such as name, date of birth, address, education history, and residency information. Based on her residency, Robin will be charged out-of-state tuition rates and has been assigned Keith Harless as her advisor.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 6

    Virginia Highlands Community College

    Application For Admission

    Prefix

    First Name Robin

    Middle Name

    Last Name Wells

    Suffix

    SSN 042907892

    Former First Name Robin

    Former Middle Name C.

    Former Last Name Wells

    Date of Birth 1/30/1995

    College Virginia Highlands Community


    College

    Campus Main

    Class Type CRED

    Term 2018 Spring between


    01/08/2018 and 05/11/2018

    Plan Diesel Mechanic-CSC


    (221-920-01)

    Previous Student or Employee N

    Emplid 7182500

    Page 1 of 6
    Primary Phone 860-279-0016

    Street Address 1 hart street

    Street Address 2

    City east hartford

    State CT

    Postal Code 06108

    Country United States

    Current Residence CONNECTICUT

    Have you lived in Virginia the past twelve Y


    months?

    Email

    Student's Employer (If Employed)

    Business Phone --

    Emergency Contact First Name

    Emergency Contact Last Name

    Emergency Contact Relationship

    Emergency Contact Phone

    Ethnicity

    Gender Not Indicated

    English is Primary Language Y

    Military Status No Military Service

    Page 2 of 6
    Citizenship Status Native

    Level of high school education High School (graduated or


    currently enrolled)

    School Attended Academy Engineering/Green


    Tech

    Actual or Anticipated Graduation Date Jan 2010

    Diploma Type Standard

    Father's Highest Education Graduated From High School

    Mother's Highest Education Graduated From High School

    Are you a U.S. citizen? Yes

    What is your military status? Have never served in the U.S.


    military

    Whose domicile do you want to use to claim My own domicile


    eligibility?

    Do you have legal dependents other than a No


    spouse?

    Are you a ward of the court or were you a ward of Yes


    the court until age 18?

    Are you married? No

    Are both of your parents deceased and do you No


    have no adoptive parent or legal guardian?

    Are you financially self sufficient? Yes

    Do you have a bachelor's degree and are you Yes


    working on a graduate degree?

    Page 3 of 6
    Have you lived in Virginia for the last twelve Yes
    months?

    For last year you: paid Virginia income taxes on


    all earned income

    For the last twelve months, have you held a No


    Virginia driver's license or Virginia DMV ID?

    For the last twelve months, have you held a Yes


    driver's license or DMV ID in any other state?

    For the last twelve months, have you owned or No


    operated a motor vehicle registered in Virginia?

    For the last twelve months, have you owned or No


    operated a motor vehicle registered in any other
    state?

    For the last twelve months, have you been No


    registered to vote in Virginia?

    For the last twelve months, have you been Yes


    registered to vote in any other state?

    Page 4 of 6
    Application Confirmation

    Name Robin Wells

    Date Submitted 04/18/2017

    Emplid 7182500

    Username rw27743

    Inital password notification sent to [email protected]

    Tuition Information Based on the residency


    information you supplied, you
    will receive out-of-state tuition
    rates.

    Assigned Plan Diesel Mechanic-CSC


    (221-920-01)

    Advisor Keith Harless

    Advisor Phone 276/698-9734

    Advisor Email [email protected]

    Administrative Contact Admissions Office

    Phone 276-739-2508

    Admissions Website http://www.vhcc.edu/


    index.aspx?page=770

    Notice In order to complete your


    enrollment process, you need
    to meet with your Academic
    Counselor. Please contact the
    Student Success Center at
    276-739-2438 to schedule your
    transition session.

    Page 5 of 6
    The signature of a parent or guardian is required for applicants under the age of
    18.

    Parent/guardian signature: ________________________________________

    Page 6 of 6

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