life and health sciences Degrees, Certificates, and Short Term Certificates |
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*required fields |
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| note: application to Sinclair Community College must be received by Registration & Student Records before this application can be processed. | |||||||||||
| Date: | |||||||||||
| *I am a current student. Yes No | |||||||||||
| *Have you attended Sinclair before? Yes No | |||||||||||
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*Have you filled out and submitted a Sinclair application?
Yes
No This Application will not be processed if you have not filled out an application to Sinclair. |
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*Have you taken the placement test at Sinclair?
Yes
No |
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*Last Name *First Name M.I. Maiden Name |
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| *Address | |||||||||||
| * City *State * Zip Code | |||||||||||
| Home Phone Work Phone | |||||||||||
| Cell Phone *E-mail | |||||||||||
| Birth Date (mm/dd/yy) | *Tartan ID
Tartan Card number or last four digits of SSN |
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*Have you previously attended another college?
Yes
No |
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