Admission Application

Application Type

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) CoursesTake Dual Credit or CollegeNow (high school) classesEarn 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 LanguageCareer Pathway/Skill Building Courses

Legal First Name

Your legal name is listed on your birth certificate, state-issued ID, etc.

Legal Middle Initial

Your legal name is listed on your birth certificate, state-issued ID, etc.

Legal Last Name

Your legal name is listed on your birth certificate, state-issued ID, etc.

Suffix

Preferred First Name

Your preferred first name is the name that you would like us to call you.

Are you a U.S citizen ?

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.

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

City

Country

State

Zip Code

Please enter your 5-digit zip code

County

Have you lived at this address for at least 30 days?

YesNo

Previous Country

Previous State

Previous City

Your Contact Information

Your Primary Phone

Primary Phone Type

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.

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.

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.

Emergency Contact Phone

Your Citizenship Status

Country of Citizenship

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?

Are you in the U.S. on a visa or seeking a visa to come to the U.S.?

What type of visa?

https://www.llcc.edu/international-student

Which best describes your reason for applying?

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?

If you are still in high school, select No.

Are you currently in high school ?

What year did you complete your GED ?

Is your high school located in Illinois?

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 ?

If your high school is not in the United States, please select "Out Country"

When will you graduate?

Choose the selection that is closest to your expected graduation date.

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)?

YesNo

High blood pressure	Diabetes
Hearing loss	Loss of limb
Vision loss/Color blindness	Epilepsy
Seizures	Learning disability
Medications that effect driving	Sleep Apnea

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

Gender	Marital Status
Number of School Years Completed	Month and Year last enrolled in school
Previous School Type US Based SchoolingNon-US Based Schooling	U.S. High School Equivalency upon entry? YesNo
U.S. Diploma upon entry? YesNo	Social Security Number If you have one, leave blank if not. (Do not include dashes)
Disability Status Not DisabledDocumented Disability as defined by ADAChose not to disclose	Employment Status Not in labor forceUnemployedEmployed but received notice of terminationEmployed
Public Assistance YesNo	Barriers to Employment English Language Learner, Low Literacy Levels, Cultural BarriersExhausting TANF within 2 yearsLow IncomeDisplaced HomemakerVeteranSingle ParentIndividual with a DisabilityLong-Term UnemployedEx-OffenderMigrant/Seasonal FarmworkerHomeless Person/Runaway YouthYouth in Foster Care/Aged Out of SystemNot ApplicableSelect all that apply
How did you hear about the program? EmployerFriend/RelativeSocial MediaFlyerUnemployment Office	If you are employed, what is your place of employment?
If you are employed, Hours worked per week: