Application for Admission

SEX:     Male    Female

* Date of Birth

CITIZENSHIP:     U.S. Citizen      Foreign       Permanent Resident  
  Note: an official copy of Form I-551 is required for admission to DACC

Permanent Resident Number, if applicable

If under 23 years of age, were you reported as a dependent on parent or guardian's federal income tax return for previous year?
Yes     No

Do either of your parents have a four year degree? (Optional)
Yes     No

The following information is optional and it is requested by government agencies to demonstrate compliance with the Civil Rights Act. Please select your predominant racial/ethnic background.
American Indian or Alaskan Native Asian or Pacific Islander Black, non-Hispanic Hispanic White, non-Hispanic Other / Unknown

Semester or Term For Which You Are Applying:
Summer I Summer II Fall Spring    Year 2008 2009 2010 2011

Preferred Campus
Las Cruces Central East Mesa Gadsden Sunland Park White Sands

  Enrollment Status
First Enrollment in ANY college or University Transferring to DACC from another college or university Readmission - returning after absence from DACC or NMSU Early College Start / Dual Credit / AVS (non-degree only) Change status (from/to degree-seeking status)

Type of Degree / Certificate You Are Seeking
Associate Degree Certificate Non-degree

NOTE: I understand that non-degree status makes me ineligible for financial aid, Veteran's benefits, intercollegiate athletics, student government, or student employment.

If non-degree, please initial here:   

Choose Program of Study
Non-Declared Apprenticeship Programs Associate in General Studies Associate of Arts Associate of Science Automation & Manufacturing Technology Automotive Technology Building Construction Technology Business Occupations Business Office Technology Certified Nursing Assistant Computer Technology Creative Media Technology Criminal Justice Dental Assistant Diagnostic Medical Sonography Drafting and Design Technologies Early Childhood Education Education Educational Paraprofessional Electronics Technologies Emergency Medical Services Fire Investigations Fire Science Technology Health Care Assistant Health Information Technology Heating, Ventilation, Air Conditioning & Refrigeration Hospitality Services Law Enforcement Library Science Nursing Paralegal Studies Pre-Business Public Health Radiologic Technology Respiratory Care Water Technology Welding Technology

High School Last Attended

Location (City, ST)

Did you earned a high school diploma or GED?
H. S. Diploma        GED

Date Graduated, or Will Graduate with high school diploma or GED:
Month        Year

List all colleges or universities you have attended or are now attending. If more than five, you will need to submit a list with the information needed. Official transcripts must be mailed directly from the college or university previously attended to the DACC Admissions Office. Academic regulations require that students that have registered at other colleges or universities may not disregard their records at such institutions when making application for admission to DACC. Students concealing attendance at another college or university and not submitting a transcript from that college or university will be subject to suspension.

Are you eligible to return to that last college or university attended?
Yes    No    Not Applicable

Have you been awarded a college or university degree?
Yes    No 

• Complete this application in full. Incomplete applications will be returned for further information.
• $15 application fee will be required.
• Request official transcripts to be mailed directly to Doña Ana Community College by the registrar of each college or educational institution previously attended, including high school(s).
• Transcripts should be sent to:  DACC Admissions Office, MSC 3DA, P.O. Box 30001, Las Cruces, NM 88003
• Date and submit this application. I understand that withholding information requested in this application, failure to submit all required documents, or giving false information may make me ineligible for admission to, or continuation at, Doña Ana Community College. With this in mind, I certify that all of the above statements are correct and complete.

Date of Application
  Ready?