Lakeland Community College Online Application

Download Printable Application for Admissions (PDF)

A non-refundable fee is required and will be applied at the time of course registration.

Required fields are displayed in yellow.

Applicant Email:
Personal Information:
IDENTIFICATION
/ /
Male Female
Single Married
ADDRESS
Yes No
PHONE
999-999-9999
Enrollment Information:
View Degree / Certificates [PDF]
Yes No
Employment / Educational Background:
EMPLOYMENT
EDUCATION

Special options at end of list
Month: Year:
Expected date acceptable.
Citizenship/Ethnicity:
CITIZENSHIP
A copy of your card is required as part of the Admissions Criteria.
ETHNICITY (Required for Federal Reporting)
Yes No
American Indian or Alaskan Native
Asian
Black or African-American
Native Hawaiian or Pacific Islander
White
Selective Service:
State Statute requires that all Ohio resident male students complete the following form.
Failure to do so may result in the student being charged the out-of-state tuition rate.

Date Picker
I certify that I am not required to be registered with Selective Service. I qualify for exemption for the following reason:
I am under the age of 18
I am over the age of 26
I am with the armed forces of the United States excluding training in the reserve or national guard unit.
I am a permanent resident of the Trust Territory of the Pacific Islands or the Northern Mariana Islands and I am not a citizen of the U.S.
I am a non-immigrant alien lawfully in the U.S. in accordance with Section 101 (A) (15) of the Immigration and Nationality Act U.S.C 1161, as amended.
No Exemption

I VERIFY THAT THE ABOVE INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE.