Lake Michigan College Records Office, Room 222
2755 East Napier Avenue
Benton Harbor, MI 49022

Friday, July 21, 2017

Application for Admission Application Status: Not Yet Submitted
Application Date: 7/21/2017 8:28 AM

Semester Expected
to Begin:
Student Type:
Approx. dates of attendance:   to  

Personal Information

Social Security No.:
Email Address:
   Type:
Current Legal Name:
Last:
   Suffix:
First:
Middle:
Former Legal Name: (Maiden Name, Previous Married Name, Name Change, etc.)
Last:
Middle:
First:
Type:
Permanent Address:
(where you live)
Country:
Street Address:
 
 
City:
State:
Zip:
County:
City:
Province:
Postal Code:
City / Town:
State / Province / Region:
Zip / Postal Code:
How long have you
lived at this address?
  years       months
Telephone Number:
Home:
Cell:
  Cell Phone Provider:
Provider Name:
Mailing Address:
(Where you receive mail)
   Same as permanent address
Country:
Street Address or P.O. Box:
 
 
City:
State:
Zip:
City:
Province:
Postal Code:
City / Town:
State / Province / Region:
Zip / Postal Code:
 

Biographical Information

Date of Birth:    (month/day/year)
Gender:        
Ethnicity/Race:
Are you Hispanic or Latino?        
Race (check all that apply):



Citizenship:
Are you a U.S. Citizen?    
Country:
Visa Type:
  Submit a copy of your documentation to LMC's International Office, located in room A218 on the Napier Avenue campus, or email to pliml@lakemichigancollege.edu.
U.S. Military Service:        
  To access VA educational benefits, contact the LMC Veteran's Office located in room A218 on the Napier Avenue campus, call us at 269‑927‑6181 or email us at pliml@lakemichigancollege.edu.
Have you ever been in
foster care?
   

Educational Information

Major Field of Study at LMC:
Highest Educational Level Completed:
  My college courses were taken at
   
Educational Goal at LMC:
How did you learn about LMC?
Has either of your parents attended college?    
Activities of Interest:
(check all that apply)





  


Bachelor's in Energy Production and Distribution Management

Other Credits:
I have transfer credits from other institutions.*    
List Institutions:
 
I have military experience that may be eligible for credit.*    
 
I have relevant work experience that may be eligible for credit.    
Other Courses:
I have courses in-progress at LMC.    
 
I have courses in-progress at another institution(s).    
Date classes end:
List Institutions:
Other Degrees:
I have completed an associate’s degree in Energy Production (or related field) at LMC.    
 
I have completed an associate’s degree in Energy Production (or related field) at another institution.*    
List Institutions:
 
I have received Course Substitutions, Prior Experiential Learning, AP credits, etc. (list courses in the comment section below).    
Additional comments or information that may help us determine your eligibility for the Bachelor of Applied Science in Energy Production and Disribution Management degree program (4,000 character maximum):
*Official transcripts must be sent directly to the Records Office for evaluation. See address at top of form.

Educational Background

High School Information:
Which best describes you?
I received:    
Date I graduated:    (month/day/year)
 
Date I will graduate:    (month/day/year)
 
Date of GED completion:    (month/day/year)
State where GED was taken:
 
Date I will take GED:    (month/day/year)
 
Date I last attended high school:    (month/day/year)
  High School State High School City (U.S.) or
Country (non-U.S.)
High School
High School
last attended:
Prior College:
(Other than LMC)
   
List all you have attended (up to three), not including LMC. For you to receive credit, you must have your official transcripts sent directly to LMC. See address at top of form.
  College State College City (U.S.) or
Country (non-U.S.)
College
College 1:
College 2:
College 3:
College 1:
College 2:
College 3:

Comments

Additional comments or information that may help us with your admission application (4,000 character maximum):

Signature

By checking the Electronic Signature box and clicking the Submit button below, I certify that the answers provided on this application are accurate to the best of my knowledge. I have read the Lake Michigan College Admission Policy and agree to abide by the regulations of Lake Michigan College.
 
 Electronic Signature
 
 

If you want to attend Lake Michigan College as a guest student...

If you are currently attending another institution and would like to take additional courses at Lake Michigan College as a guest student, you'll need to fill out the Michigan Uniform Undergradute Guest Application.

Just click the "Guest Application" link below, and print out the application form. Complete Part I and have your home school complete Part II, then return the completed form to Lake Michigan College, either in person, or mail or fax it to:

Lake Michigan College
Records Office
2755 E. Napier Ave.
Benton Harbor, MI 49022

Fax: 269-927-6874

Be sure to keep a copy of your Guest Application for your records.

If mailed, please allow 7-10 days for Lake Michigan College to receive your Guest Application, after which you may register for classes.

Please note that you may register only for classes for which you can show you have met the prerequisites, if any (see the Class Schedule or College Catalog for prerequisites). Also note that you must submit a Guest Application for each semester you wish to take courses as a guest.

Click here for Guest Application