Kirtland Community College

Please select the category of student you fall under:

How did you learn about Kirtland?

How did you learn about Kirtland?

First Name

Middle Name

Last Name

Maiden name (if different from Last Name)

Preferred first name (nickname)

E-mail address

Mobile phone number

Home phone number

Social Security Number

Date of birth

Gender

Home Address

Line 1

Line 2

PO Box

City

State

Zip Code

County of residence

Citizenship

You chose Resident Alien - please select your home country

Mailing Address

Is mailing address different from above?

Line 1

Line 2

PO Box

City

State

Zip Code

Ethnicity

Race

Ethnic Heritage

Did you / will you graduate from High School?

Please select your high school

In what year did you / will you graduate?

Please understand that without a high school diploma or GED, you do not qualify for federal financial aid. However, we are happy to have you as a student. Kirtland offers GED testing, if you are interested. (Here is a link to Testing Center)

Did you earn a GED?

GED Test Year

Have you attended an institution other than Kirtland?

Previous Institution Name

State

Previously Attended Institutions

Which semester do you plan to begin at Kirtland?

Please select the Kirtland program you plan to enroll in

Please select the type of classes you are interested in

Please select the name of your employer

Select type of apprenticeship program

Please download the application from the link below. You will need to return to this page and click continue.

Link to Guest Application.

Are you registered for Selective Service?

Are you currently in the National Guard, Reserves or active military duty?

Which branch?

Are you a US Veteran?

Veteran of

What is your start date in the Armed Forces?

What is your end date?

Are you the spouse or dependent of a US Veteran?

Are you planning to utilize a Veteran / Military benefit?

Please select the benefit you are planning to use

VA Benefit

DOD Benefit