Admission Application
Application Type
Please select...
Main
Concurrent Enrollment
International
Athletic
Truck Driving
Adult Education
Diesel Tech
DOIT
Welcome to Lincoln Land Community College!
The first step in taking Dual Credit or College Now courses is completing this application. If you are not trying to take Dual Credit or College Now courses, please visit
https://www.llcc.edu/apply
. Connect with us at
admissions@llcc.edu
or by texting
217-441-2827
. We look forward to helping you achieve your goals!
Welcome to Lincoln Land Community College!
We are excited to have you enrolling in our Adult Education program.
Thank you for your interest in Lincoln Land Community College!
We are excited to have you take classes on campus or online with our dedicated faculty and supportive staff. We are here for you. Connect with us at
admissions@llcc.edu
or by texting
217-441-2827
. We look forward to helping you achieve your goals!
Thank you for your interest in LLCC's Truck Driving Training Program!
This application is the first step in starting the Truck Driving program. You will need to meet with the Director of the Truck Driving program prior to being placed into the class. More information will come after you complete this form.
Thank you for your interest in LLCC's Diesel Tech Program!
This application is the first step in starting the Diesel program. You will need to meet with the Director of the Diesel Tech program prior to being placed into the class. More information will come after you complete this form.
Thank you for your interest in LLCC!
We are excited to have you train with our dedicated faculty. Completing this application is only one part of the F-1 International Student admissions process. Be sure to to read all about becoming an
international student on our website
. Connect with us at admissions@llcc.edu or by texting
217-441-2827
.
Your Information
Before we begin, what is your goal at LLCC?
Take Adult Education (ESL, GED) Courses
Take Dual Credit or CollegeNow (high school) classes
Earn a degree (certificate or associates) or take a few college level classes
What program do you plan to attend?
High School Equivalency (GED)
English as a Second Language
Career Pathway/Skill Building Courses
Legal First Name
Your legal name is listed on your birth certificate, state-issued ID, etc.
x
Legal Middle Initial
Your legal name is listed on your birth certificate, state-issued ID, etc.
x
Legal Last Name
Your legal name is listed on your birth certificate, state-issued ID, etc.
x
Suffix
Please select...
Jr.
Sr.
I
II
III
IV
V
Ed.D.
Esq.
Ph.D.
M.D.
D.D.S.
CPA
CPM
USAF
USAR
USMC
USN
Preferred First Name
Your preferred first name is the name that you would like us to call you.
x
Are you a U.S citizen ?
Please select...
Yes
No
Date of Birth
Please enter the date in this format mm/dd/yyyy.
You will get an error when you submit this form
if you do not include the / between numbers.
Social Security Number
In order to take advantage of our online admission process, you must provide a valid Social Security Number (SSN). Once received, you will be issued a unique LLCC ID number that will be used to identify you in our system. If you do not wish to provide a SSN or do not have a SSN, you may complete the Admission Worksheet in person at any of our locations. Failure to provide an accurate SSN may have implications to your taxes and your financial aid.
x
Your Address
Street
Ex: 123 Apple Rd
PO Box or Apt #
Include the type of number and the number. Examples: Apt. 42 or P.O. Box 17 or Ste. 405
x
City
Country
Please select...
United States
Andorra
United Arab Emirates
Afghanistan
Antigua and Barbuda
Anguilla
Albania
Armenia
Angola
Antarctica
Argentina
Austria
Australia
Aruba
Aland Islands
Azerbaijan
Bosnia and Herzegovina
Barbados
Bangladesh
Belgium
Burkina Faso
Bulgaria
Bahrain
Burundi
Benin
Saint Barthélemy
Bermuda
Brunei Darussalam
Bolivia, Plurinational State of
Bonaire, Sint Eustatius and Saba
Brazil
Bahamas
Bhutan
Bouvet Island
Botswana
Belarus
Belize
Canada
Cocos (Keeling) Islands
Congo, the Democratic Republic of the
Central African Republic
Congo
Switzerland
Cote d'Ivoire
Cook Islands
Chile
Cameroon
China
Colombia
Costa Rica
Cuba
Cape Verde
Curaçao
Christmas Island
Cyprus
Czech Republic
Germany
Djibouti
Denmark
Dominica
Dominican Republic
Algeria
Ecuador
Estonia
Egypt
Western Sahara
Eritrea
Spain
Ethiopia
Finland
Fiji
Falkland Islands (Malvinas)
Faroe Islands
France
Gabon
United Kingdom
Grenada
French Guiana
Guernsey
Ghana
Gibraltar
Greenland
Gambia
Guinea
Guadeloupe
Equatorial Guinea
Greece
South Georgia and the South Sandwich Islands
Guatemala
Guinea-Bissau
Guyana
Heard Island and McDonald Islands
Honduras
Croatia
Haiti
Hungary
Indonesia
Ireland
Israel
Isle of Man
India
British Indian Ocean Territory
Iraq
Iran, Islamic Republic of
Iceland
Italy
Jersey
Jamaica
Jordan
Japan
Kenya
Kyrgyzstan
Cambodia
Kiribati
Comoros
Saint Kitts and Nevis
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Cayman Islands
Kazakhstan
Lao People's Democratic Republic
Lebanon
Saint Lucia
Liechtenstein
Sri Lanka
Liberia
Lesotho
Lithuania
Luxembourg
Latvia
Libya
Morocco
Monaco
Moldova, Republic of
Montenegro
Saint Martin (French part)
Madagascar
Macedonia, the former Yugoslav Republic of
Mali
Myanmar
Mongolia
Macao
Martinique
Mauritania
Montserrat
Malta
Mauritius
Maldives
Malawi
Mexico
Malaysia
Mozambique
Namibia
New Caledonia
Niger
Norfolk Island
Nigeria
Nicaragua
Netherlands
Norway
Nepal
Nauru
Niue
New Zealand
Oman
Panama
Peru
French Polynesia
Papua New Guinea
Philippines
Pakistan
Poland
Saint Pierre and Miquelon
Pitcairn
Palestine
Portugal
Paraguay
Qatar
Reunion
Romania
Serbia
Russian Federation
Rwanda
Saudi Arabia
Solomon Islands
Seychelles
Sudan
Sweden
Singapore
Saint Helena, Ascension and Tristan da Cunha
Slovenia
Svalbard and Jan Mayen
Slovakia
Sierra Leone
San Marino
Senegal
Somalia
Suriname
South Sudan
Sao Tome and Principe
El Salvador
Sint Maarten (Dutch part)
Syrian Arab Republic
Swaziland
Turks and Caicos Islands
Chad
French Southern Territories
Togo
Thailand
Tajikistan
Tokelau
Timor-Leste
Turkmenistan
Tunisia
Tonga
Turkey
Trinidad and Tobago
Tuvalu
Taiwan
Tanzania, United Republic of
Ukraine
Uganda
Uruguay
Uzbekistan
Holy See (Vatican City State)
Saint Vincent and the Grenadines
Venezuela, Bolivarian Republic of
Virgin Islands, British
Vietnam
Vanuatu
Wallis and Futuna
Samoa
Yemen
Mayotte
South Africa
Zambia
Zimbabwe
State
Please select...
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
US Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip Code
Please enter your 5-digit zip code
x
County
Please select...
Adams
Alexander
Bond
Boone
Brown
Bureau
Calhoun
Carroll
Cass
Champaign
Christian
Clark
Clay
Clinton
Coles
Cook
Crawford
Cumberland
De Kalb
De Witt
Douglas
Du Page
Edgar
Edwards
Effingham
Fayette
Ford
Franklin
Fulton
Gallatin
Greene
Grundy
Hamilton
Hancock
Hardin
Henderson
Henry
Iroquois
Jackson
Jasper
Jefferson
Jersey
Jo Daviess
Johnson
Kane
Kankakee
Kendall
Knox
Lake
La Salle
Lawrence
Lee
Livingston
Logan
McDonough
McHenry
McLean
Macon
Macoupin
Madison
Marion
Marshall
Mason
Massac
Menard
Mercer
Monroe
Montgomery
Morgan
Moultrie
Ogle
Peoria
Perry
Piatt
Pike
Pope
Pulaski
Putnam
Randolph
Richland
Rock Island
St. Clair
Saline
Sangamon
Schuyler
Scott
Shelby
Stark
Stephenson
Tazewell
Union
Vermillion
Wabash
Warren
Washington
Wayne
White
Whiteside
Will
Williamson
Winnebago
Woodford
Have you lived at this address for at least 30 days?
Yes
No
Previous Country
Please select...
United States
Andorra
United Arab Emirates
Afghanistan
Antigua and Barbuda
Anguilla
Albania
Armenia
Angola
Antarctica
Argentina
Austria
Australia
Aruba
Aland Islands
Azerbaijan
Bosnia and Herzegovina
Barbados
Bangladesh
Belgium
Burkina Faso
Bulgaria
Bahrain
Burundi
Benin
Saint Barthélemy
Bermuda
Brunei Darussalam
Bolivia, Plurinational State of
Bonaire, Sint Eustatius and Saba
Brazil
Bahamas
Bhutan
Bouvet Island
Botswana
Belarus
Belize
Canada
Cocos (Keeling) Islands
Congo, the Democratic Republic of the
Central African Republic
Congo
Switzerland
Cote d'Ivoire
Cook Islands
Chile
Cameroon
China
Colombia
Costa Rica
Cuba
Cape Verde
Curaçao
Christmas Island
Cyprus
Czech Republic
Germany
Djibouti
Denmark
Dominica
Dominican Republic
Algeria
Ecuador
Estonia
Egypt
Western Sahara
Eritrea
Spain
Ethiopia
Finland
Fiji
Falkland Islands (Malvinas)
Faroe Islands
France
Gabon
United Kingdom
Grenada
French Guiana
Guernsey
Ghana
Gibraltar
Greenland
Gambia
Guinea
Guadeloupe
Equatorial Guinea
Greece
South Georgia and the South Sandwich Islands
Guatemala
Guinea-Bissau
Guyana
Heard Island and McDonald Islands
Honduras
Croatia
Haiti
Hungary
Indonesia
Ireland
Israel
Isle of Man
India
British Indian Ocean Territory
Iraq
Iran, Islamic Republic of
Iceland
Italy
Jersey
Jamaica
Jordan
Japan
Kenya
Kyrgyzstan
Cambodia
Kiribati
Comoros
Saint Kitts and Nevis
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Cayman Islands
Kazakhstan
Lao People's Democratic Republic
Lebanon
Saint Lucia
Liechtenstein
Sri Lanka
Liberia
Lesotho
Lithuania
Luxembourg
Latvia
Libya
Morocco
Monaco
Moldova, Republic of
Montenegro
Saint Martin (French part)
Madagascar
Macedonia, the former Yugoslav Republic of
Mali
Myanmar
Mongolia
Macao
Martinique
Mauritania
Montserrat
Malta
Mauritius
Maldives
Malawi
Mexico
Malaysia
Mozambique
Namibia
New Caledonia
Niger
Norfolk Island
Nigeria
Nicaragua
Netherlands
Norway
Nepal
Nauru
Niue
New Zealand
Oman
Panama
Peru
French Polynesia
Papua New Guinea
Philippines
Pakistan
Poland
Saint Pierre and Miquelon
Pitcairn
Palestine
Portugal
Paraguay
Qatar
Reunion
Romania
Serbia
Russian Federation
Rwanda
Saudi Arabia
Solomon Islands
Seychelles
Sudan
Sweden
Singapore
Saint Helena, Ascension and Tristan da Cunha
Slovenia
Svalbard and Jan Mayen
Slovakia
Sierra Leone
San Marino
Senegal
Somalia
Suriname
South Sudan
Sao Tome and Principe
El Salvador
Sint Maarten (Dutch part)
Syrian Arab Republic
Swaziland
Turks and Caicos Islands
Chad
French Southern Territories
Togo
Thailand
Tajikistan
Tokelau
Timor-Leste
Turkmenistan
Tunisia
Tonga
Turkey
Trinidad and Tobago
Tuvalu
Taiwan
Tanzania, United Republic of
Ukraine
Uganda
Uruguay
Uzbekistan
Holy See (Vatican City State)
Saint Vincent and the Grenadines
Venezuela, Bolivarian Republic of
Virgin Islands, British
Vietnam
Vanuatu
Wallis and Futuna
Samoa
Yemen
Mayotte
South Africa
Zambia
Zimbabwe
Previous State
Please select...
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
US Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Previous City
Your Contact Information
Your Primary Phone
Primary Phone Type
Please select...
Cell
Work
Home
Other
Mobile Phone
Home Phone
Other Phone
Email
You will receive important Admissions emails to this address. Please use an email account that you will have access to, i.e., do not use a high school email address.
x
Email Confirmation
You will receive important Admissions emails to this address. Please use an email account that you will have access to, i.e., do not use a high school email address.
x
Email Match Check
Email Match Error
By checking you agree to receive recurring monthly messages from LLCC. Msg & Data rates my apply. Reply STOP to cancel or Help for help.
Click to view
Terms & Conditions
and
Privacy Policy
Your Emergency Contact Information
Emergency Contact Name
Please enter the first and last name of you emergency contact.
x
Emergency Contact Phone
Your Citizenship Status
Country of Citizenship
Please select...
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia, Plurinational State
Bonaire, Sint Eustatius & Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, Democratic Rebublic of
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Isle
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic Peoples Repu
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republ
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
MacEdonia, Former Yugoslav Rep
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupie
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
S. Georgia & S Sandwich Isles
Saint Barthelemy
Saint Kitts and Nevis
Saint Lucia
Saint Martin (french Part)
Saint Pierre and Miquelon
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (dutch Part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St Helena, Ascension, Tristan
St Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Us Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela, Bolivarian Republic
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Social Security Number
Not required, but please put your SSN here if you have a SSN.
Do you have a permanent resident card (also known as a “green card”) or an approved immigrant visa?
Please select...
Yes
No
Are you in the U.S. on a visa or seeking a visa to come to the U.S.?
Please select...
Yes
No
What type of visa?
Please select...
A – Foreign Government Officials
B – Visitor
C – Aliens in Transit
D – Crewman
E – Treaty Traders and Treaty Investors
F – Academic or Language Students
G – Representative to International Organizations
H – Temporary Workers
I – Foreign Media Representative
J – Exchange Visitor
K – Fiancé(e)s and Spouses of U.S. citizens
L – Intracompany Transferees
M – Vocational or other Nonacademic Students
N – Certain Parents and Children of section 101(a)(27)(I) Special Immigrants
O – Workers with Extraordinary Abilities
P – Artists, Athletes, and Entertainers
Q – International Cultural Exchange Visitors
R – Religious Workers
NATO – North Atlantic Treaty Organization
S – Witnesses and Informants
T – Alien Victims of Human Trafficking
TN Professionals under the NAFTA
U – Alien Victims of Certain Crimes
V – Certain Second Preference Beneficiaries
https://www.llcc.edu/international-student
Which best describes your reason for applying?
Please select...
I am seeking a F1 Visa from LLCC and currently located outside of the USA
I am a current F1 student at another school and looking to take a class (or multiple) from LLCC
I am looking to transfer my I-20 from another school to LLCC
Please bring your permanent resident card or visa to LLCC Registration for documentation and to update your tuition rate.
https://www.llcc.edu/new-returning-transfer/student-services/registration
Visitors may engage in study that is avocational or recreational (non-credit) in nature.
Aliens in transit are not permitted to attend college in the U.S.
Crewman are not permitted to attend college in the U.S.
If you are requesting to transfer your F visa to LLCC, please leave this form and visit (
https://www.llcc.edu/international-student/f-1-visa-international-students
) for instructions. If you are applying to take a class to transfer to the institution that issued your I-20, you will need to have that institution send an email acknowledging that you are in good standing with your current DSO to LLCC registration.
LLCC is not an approved institution for students with an M visa.
Undocumented students are welcome at LLCC. Please visit LLCC Registration on our main campus or any Outreach Center for information on how to obtain in-district tuition.
https://www.llcc.edu/our-locations
Your High School Information
Are you a high school graduate or have you earned a GED?
Please select...
Yes – I am a high school graduate
Yes – I have earned a GED
No – I have not graduated high school or earned a GED
If you are still in high school, select No.
Are you currently in high school ?
Please select...
Yes
No, but I have attend high school in the past
No, I have never attended high school
What year did you complete your GED ?
Please select...
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
Is your high school located in Illinois?
Please select...
Yes
No
Select your high school
Select the state where your high school is located:
Select "Out Country" if you attended high school outside of the United States
What year did you graduate ?
Please select...
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
If your high school is not in the United States, please select "Out Country"
When will you graduate?
Please select...
2024
2025
2026
2027
2028
2029
2030
Choose the selection that is closest to your expected graduation date.
x
Colleague HS ID In State
Colleague
High School ID (out-of-state)
Do you currently (or are you planning) attend the Capital Area Career Center (CACC)?
Yes
No
Government Reporting
Questions and response options in this area are phrased by the requirement of the reporting agency. Reporting is provided to agencies without revealing your identity.
Legal Sex
Please select...
Female
Male
Primary Language
Please select...
English
French
German
Italian
Spanish
Other
Racial group
Please select...
American Indian
Alaska Native
Asian
Black or African American
Hawaiian/Pacific Islander
White
Choose not to indicate
Hold CTRL (PC) or command/cmd (Mac) to select multiple
Ethnicity
Please select...
Hispanic, Latino or Latina
Not Hispanic, Latino or Latina
Military/Veteran Status
Please select...
Active duty
Active reserve
Reserve
Veteran
Not a Veteran
Where will you live while attending LLCC?
Please select...
With Parent
Not With Parent
Educational Goal
Please select...
To prepare to transfer to a college or university
To improve skills for my present job
To prepare for a future job immediately after attending LLCC
To prepare for the GED test or improve my basic academic skills
For personal interest/self-development, not career-oriented
Other
Highest Level of Education Earned by You
Please select...
High school diploma
GED or equivalency
Some college
Certificate
Associate degree
Bachelor’s degree
Master’s degree
Doctorate
Other
None
Highest Level of Education Earned by Either Parent
Please select...
Less than high school
GED
High school
Vocational/technical
Some college
Associate degree
Bachelor’s degree
Some graduate school
Master’s or professional degree
Doctoral degree
Unknown
Your Parental Status
Please select...
I'm not a parent
I'm a parent who is single
I'm a parent who is married
A parent is an individual that has a child or is pregnant.
x
Can you be classified as a homeless individual?
Yes
No
A homeless individual is a person who does not have a fixed, regular, adequate nighttime residence. This includes individuals living in shelters, hotels, motels, campgrounds, cars, parks and other public spaces.
x
Can you be classified as an out of workforce individual?
Yes
No
An out-of-workforce individual is generally a person who previously provided unpaid services to the family (e.g., a stay-at-home mom or dad), is no longer supported by the spouse, is unemployed or underemployed, and is having trouble finding or upgrading employment.
x
Are either of your parents in the Armed Service and on Active Duty?
Yes
No
An individual who is 21 years of age or younger, whose parent is a full-time member of the Army, Navy, Air Force, Marine Corps or Coast Guard.
x
Are you a youth in or have you aged out of foster care?
Yes
No
A youth who is in, or have aged out of foster care system is defined as an individual 21 or younger for whom the Illinois Department of Children and Family Services currently has, or previously had legal temporary or permanent custody.
x
Have you been expelled, dismissed, or left while charges were pending, from a high school, college, or university for behavioral or disciplinary reasons (do not include academic probation or academic suspension)?
Yes
No
Start Date
When do you plan to begin classes?
LLCC classes take place during three "semesters" or "terms". LLCC offers classes that start both at the beginning and halfway through a semester.
- Fall Term - August through December
- Spring Term - January through May
- Summer Term - June through July
You can find exact dates here.
Program
Which program are you planning to take?
Please select...
Dual Credit – LLCC credit at my high school with my high school teacher
College NOW – LLCC credit at a LLCC campus with LLCC instructor
DC/CN program
Location
Which of our locations would you like to start taking classes at?
Please select...
LLCC–Springfield (main campus, LRS Aviation Center, Medical District)
LLCC–Beardstown Outreach Center
LLCC–Jacksonville Outreach Center
LLCC–Litchfield Outreach Center
LLCC–Taylorville Outreach Center
Students seeking F1 Visas should select "LLCC- Springfield"
LLCC–Springfield (main campus, LRS Aviation Center, Medical District)
LLCC–Beardstown Outreach Center:
llcc.edu/beardstown
LLCC–Jacksonville Outreach Center:
llcc.edu/jacksonville
LLCC–Litchfield Outreach Center:
llcc.edu/litchfield
LLCC–Taylorville Outreach Center:
llcc.edu/taylorville
If you plan to take online classes, please select the location closest to you.
Area of Interest
Do you intend to complete a degree or certificate at LLCC?
Please select...
Yes
No
Which option best describes your college experience? Do not include dual credit courses taken in high school or community education courses when responding.
Please select...
I have previously taken classes for credit at LLCC.
I have previously taken classes for credit at another college.
I have never taken classes for credit at LLCC or another college.
Which area best describes what you plan to major in?
Please select...
Agriculture & Horticulture
Arts, Language & Communication
Business, Hospitality & Culinary
Education and Social/Behavioral Sciences
Health Care Professions
Science, Technology, Engineering & Math
Workforce Institute (Trades Careers)
I need help deciding
Click here to explore your options:
https://www.llcc.edu/explore
Select Agriculture & Horticulture Area of Interest
Select the Arts, Language & Communication Area of Interest
Select the Business, Hospitality & Culinary Area Interest
Select the Education and Social/Behavioral Sciences Area of Interest
Select the Health Care Professional Area of Interest
Select the Science, Technology, Engineering & Math Area of Interest
Select the Workforce Institute (Trade Careers) Area of Interest
F-1 Visa students are not allowed to take health-care or Workforce programs through LLCC. Please select another option.
Truck Driving Questionnaire
Driver License Number
Ex: D123-4567-8910
Driver License State and Exp
Ex: Illinois 01/01/2024
Please check if you experience any of the following conditions:
High blood pressure
Diabetes
Hearing loss
Loss of limb
Vision loss/Color blindness
Epilepsy
Seizures
Learning disability
Medications that effect driving
Sleep Apnea
Do you currently have a CDL Class A or B permit or license?
Yes
No
Is your driver’s license suspended anywhere in the United States?
Yes
No
Do you have any unpaid tickets anywhere in the United States?
Yes
No
Have you ever had a DUI?
Yes
No
Have you ever illegally transported alcohol?
Yes
No
Are you currently receiving unemployment benefits?
Yes
No
Have you ever driven a manual clutch transmission?
Yes
No
Have you ever been convicted of a felony?
Yes
No
Have you ever been convicted of a misdemeanor?
Yes
No
Are you a spouse or child of a veteran or armed service member?
Yes
No
Do you currently owe any money to LLCC?
Yes
No
Are you currently on academic suspension or probation at LLCC?
Yes
No
How did you hear about the LLCC Truck Driving Training program?
Friend/Relative
Advertisement/Brochure
Funding Agency
Website/Online
Are you currently in the Lineman or Ag program?
No, neither
Yes, Lineman
Yes, Ag
Truck Driving Employment History
Please provide the last three years of employment history. Use the "Add another response" to include additional employers.
Company Name
Position
Start Date
End Date
City, State
Reason for Leaving
Diesel Tech Questionnaire
List any high school classes taken related to mechanics. (Ex: Auto Mechanics, Ag Mechanics, Welding, Electric, etc.) If none, leave blank:
List any high school organization members that has help you prepare for a career in diesel related field (FFA, Skills USA, 4-H). If none, leave blank:
List any other experience you have involving mechanics (Ex: employment in a shop, working on personal equipment, military training in mechanics, etc.)
Briefly describe why you want a career in the diesel technologies industry. What makes you a good candidate? What are your long term goals?
Adult Education
Questionnaire
Gender
Please select...
Female
Male
Non-binary
No Answer
Marital Status
Please select...
Single
Married
Divorced
Widowed
Other
Number of School Years Completed
Please select...
No Schooling
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
High School Diploma or Alternative Credential
Have completed a portion of GED test
GED or other High School Equivalency Certificate
Some College, No Degree
College or Professional Degree
Month and Year last enrolled in school
Previous School Type
US Based Schooling
Non-US Based Schooling
U.S. High School Equivalency upon entry?
Yes
No
U.S. Diploma upon entry?
Yes
No
Social Security Number
If you have one, leave blank if not.
(Do not include dashes)
Disability Status
Not Disabled
Documented Disability as defined by ADA
Chose not to disclose
Employment Status
Not in labor force
Unemployed
Employed but received notice of termination
Employed
Public Assistance
Yes
No
Barriers to Employment
English Language Learner, Low Literacy Levels, Cultural Barriers
Exhausting TANF within 2 years
Low Income
Displaced Homemaker
Veteran
Single Parent
Individual with a Disability
Long-Term Unemployed
Ex-Offender
Migrant/Seasonal Farmworker
Homeless Person/Runaway Youth
Youth in Foster Care/Aged Out of System
Not Applicable
Select all that apply
How did you hear about the program?
Employer
Friend/Relative
Social Media
Flyer
Unemployment Office
If you are employed, what is your place of employment?
If you are employed, Hours worked per week:
Concurrent App Thank You Message
Thank you for applying to LLCC. We will process your application on our next business day. For more information, visit: www.llcc.edu/high-school-programs. If you have questions, give us a call at 217-786-2292 or email admissions@llcc.edu
Online App Thank You Message
Thank you for applying to LLCC. We will process your application on our next business day. If you have any questions, don’t hesitate to reach out to us at 217-786-2292 or admissions@llcc.edu. After we process your application, you’ll receive details on each of your next steps. In the meantime, we recommend exploring your Financial Aid options and submitting your high school transcripts to LLCC.
Adult Ed Thank You Message
Success! Visit our Adult Education and Literacy website if you have any questions. www.llcc.edu/adult-education-literacy
Thank You Message
Please answer this question: What is 3+6?
By pressing submit, I am certifying that all of my answers are true and valid
, and I consent to receive communications via phone, text, and email from LLCC.
CC Form Operations
Agriculture & Horticulture
Ag Program of Interest Id
Ag
Program of Interest Category
Ag
Program of Interest Name
Arts, Language & Communication
Art Program of Interest Id
Art
Program of Interest Category
Art
Program of Interest Name
Business, Hospitality & Culinary
Bus Program of Interest Id
Bus
Program of Interest Category
Bus
Program of Interest Name
Education and Social/Behavioral Science
Edu Program of Interest Id
Edu
Program of Interest Category
Edu
Program of Interest Name
Health Care Professional
HP Program of Interest Id
HP
Program of Interest Category
HP
Program of Interest Name
Sci, Tech, Eng & Math
Sci Program of Interest Id
Sci
Program of Interest Category
Sci
Program of Interest Name
Tech Careers
WI Program of Interest Id
WI
Program of Interest Category
WI
Program of Interest Name
Adult Ed Colleague
Undecided Colleague ID
Courses Only Colleague ID