To complete this Online Application for Admission, fill out all fields below.  Use the Tab key on your keyboard to move between fields. If some of the fields do not apply to you, do not enter any data.

This is required information.
I. Identification Information

NOTE:  In order to apply electronically, the applicant's Social Security number must be provided.

Social Security Number of Applicant
(Example: 123456789)
RE-ENTER Social Security Number of Applicant
Email Address


II. Personal Demographic Information



Legal First Name 

    Middle Initial

     Legal Last Name




Address Line 1


Address Line 2






Telephone   Number

(Example: 9185551234)



III. Request for Confidential Information

The information requested below will be treated as confidential and will be used for summary reports required by federal and state laws and regulations and to support institutional affirmative action efforts. It will not be used as a basis for admission or in a discriminatory manner.

Date of Birth




Ethnic Background

Please answer all race categories below.
Hispanic/Latino? Yes No
American Indian/Native American? Yes No
Asian? Yes No
Black? Yes No
Hawaiian/Pacific Islander? Yes No
White? Yes No
Marital Status    

Are you a US Citizen?

   If not, give type of U.S. visa held or to be obtained
  Date of Issue

Are you a legal resident of Texas? 


Upon whom are you basing your claim of residence status?
Legal Guardian

Are you a Veteran? 

   If yes, do you receive VA benefits?  

Are you active military?


Are you a military dependent?



IV. Educational  Information

Are you entering college for the first time?

   If no, enter last college attended


Your student classification will be:

This application is for

      of     20


Will you be attending high school while enrolled at Cisco College?


What is your intended Program/Major? Non credit students please choose Non credit


What is your educational intent?

(Only degree and/or certificate-seeking students are eligible for Federal/State Financial Aid.)


Which campus do you wish to attend?

If you have a physical or learning disability that may require special accomodations, please contact the Special Populations Coordinator at the location you plan to attend. The Special Populations Coordinator at the Cisco Campus may be reached at 254-442-5023. The Abilene Center Special Pops Coordinator may be reached at 325-794-4406



V. Educational Background

High School Name




High School graduation / GED date

Are you a former Cisco College student?


I certify that the information provided in this Application for Admission is complete and accurate to the best of my knowledge. I further understand that this information will be relied upon by the officials of the college in determining my admission and residence status for tuition purposes and that the submission of false information is grounds for rejection of my application, withdrawal of an offer of acceptance, cancellation of enrollment, and/or disciplinary action. I agree to conform to and abide by the letter and the spirit of all policies, rules, and regulation of Cisco College.

Admission to Cisco College is open to all qualified persons regardless of race, creed, color, sex, disability, age, religion or national origin.

When you have completed the Online Application for Admission, click the "Submit" button ONE TIME ONLY.


[ Return to the Summary of Admissions Procedures Page ]


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