Application for Admission
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1 DES MOINES AREA COMMUNITY COLLEGE Application for Admission Frequently Called DMACC Numbers Academic Records Admission Processing Advisor/Counselor Appointment (for Ankeny) Assessment Center (For other campuses, call that campus directly) Bookstore (for Ankeny) or (For other campuses, call that campus directly) Continuing Education Credentials (Transfer Credit Evaluation) or Disabilities Services Office Evening Services Office (for Ankeny) Financial Aid or Information Center Registration Student Accounts Tech Support Contact us at or by calling Ankeny Campus 2006 S. Ankeny Blvd. Ankeny, Iowa Boone Campus 1125 Hancock Drive Boone, Iowa Carroll Campus 906 N. Grant Road Carroll, Iowa Newton Campus 600 N. 2nd Avenue W. Newton, Iowa Urban/Des Moines Campus th Street Des Moines, Iowa West Des Moines Campus 5959 Grand Avenue West Des Moines, Iowa 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 EVELYN K. DAVIS CENTER FOR WORKING FAMILIES
2 Instructions For Completing Your Application For Admission To DMACC 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. ( 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. 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 Enter a valid 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. By providing your cell phone number, you have provided DMACC with consent to send you text messages in conjunction with college business. Questions 9 & 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/Transfer Major (Questions 12 13) Question 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 Areas of Concentration/Transfer Major: If you selected Liberal Arts as your Program of Interest, please indicate from the list below which area of concentration you wish to pursue. 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 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. Section 3...Admission Information (Questions 14 20) Question Make sure the Program of Interest you select offers classes during the semester you plan to enter DMACC. Question Make sure the DMACC location you select offers your Program of Interest. (Refer to page 6 of this application packet.) Question Refer to the Admission Steps Section for Guest Student definition. Question 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 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 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. Page 2 (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.
3 Instructions (Cont.) 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 If you plan to transfer to another college or university, please indicate, using the school s official name. 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 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 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 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 Assessment scores used for admission purposes must be (5) five years old or less from the test date. 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.) 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 parttime 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. Page 3
4 1. 2. SECTION 1 Personal Information Social Security Number Legal Last Name (Family Name) Application For Admission Responses to all items are required for admission. Please print legibly with a pen and stay in the boxes. Return to: Admissions Office Des Moines Area Community College 2006 S. Ankeny Blvd., Ankeny, IA or apply online at 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. First (Given Name) M.I. 3. All Former Legal Last Name(s) 4. Address 5. Number and Street Address Apartment/Lot Number, etc. ZIP 6. Home Telephone (Area Code) Telephone Number Cell Phone (Area Code) Telephone Number Gender Male Birthdate Female Month Date Year Emergency Information Name someone to contact in case of an emergency 9. Ethnic/Race Information 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 10. Personal Background 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 Address Apartment/Lot Number, etc. ZIP (Area Code) Telephone Number Relationship to student Address SECTION 2 Planned Academic Program/Transfer Major 12. Program of Interest (All programs are listed on page 6.) 13. If you selected Liberal Arts in Question 12, what will be your Area of Concentration/Transfer Major? (Refer to page 2, Section 2.) SECTION 3 Admission Information 14. Semester you plan to start at DMACC 1. Fall 2. Spring 3. Summer Year: 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. DMACC location you plan to attend: Ankeny Boone Carroll Newton Urban/Des Moines West Des Moines Ames Perry Southridge Online Only 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 18. Do you plan to receive an associate degree, diploma or certificate of specialization from DMACC? Yes No 19. 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 Page 4
5 SECTION 3 Admission Information (Cont.) 20. DMACC Education Goals (select one) 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? SECTION 4 Citizenship and Residency Information 21. Are you a: U. S. Citizen U.S. Permanent Resident/Green Card Holder Refugee Visa Holder (Visa holders must fill out an International application.) If you are a United s 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 22. I am a current resident of the state of SECTION 5 Secondary Education Information (High School or GED) 23. Name and Location of High School Last Attended ZIP 24. Have you graduated or will you graduate with a: 25. High School Diploma Home School Diploma GED Diploma Adult High School Diploma None of the above Year of Graduation? SECTION 6 List all colleges (including DMACC) previously attended for credit courses in order of attendance 26. College Name (most recent) From Month/Year To Month/Year Type of Degree Earned College Name From Month/Year To Month/Year Type of Degree Earned College Name From Month/Year To Month/Year Type of Degree Earned 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 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. 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, sex (including pregnancy and marital status), 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 campus Provost s office, Academic Dean s office, the Judicial officer, or the EEO/AA Officer, Human Resources. For requests for accommodations, the Accommodation/Section 504/ADA Coordinator can be contacted at For Title IX questions and concerns contact Page 5
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,C,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 Page 6 *Selected courses in this program are offered at this campus. 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
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