Electronic Application

APPLICATION

Which of these best describes your enrollment?

I am enrolling as a first-time student. I have never attended Ranken in the past.

I am enrolling as a returning student. I have attended Ranken previously. (Select even if you did not graduate.)

Do you need to update any of your personal information? (If unsure, select 'Yes')

YesNo

PERSONAL INFORMATION

Legal First Name

Middle Name

Legal Last Name

Suffix

Former Last Name or Maiden Name (if applicable)

Preferred First Name (if different from legal name)

Preferred Pronouns

Please specify

Email Address

Home Phone

Cell Phone

May the Ranken Admissions team text you at this number?

YesNoBy answering “Yes”, you agree to receive text messages from Ranken Technical College regarding your enrollment or other College related information. You can opt-out anytime. Message & data rates may apply. View Mobile Terms and Privacy Policy.

What is your preferred method of communication?

Date of Birth

Example: 03/21/1987

Social Security Number

This information is not used for anything other than identification purposes. Failure to provide a correct SSN will result in issues processing your enrollment.

Street Address

City

State

Zip Code

Country

Citizenship Status

Gender

Marital Status

How many dependents do you have?

Are you of Hispanic or Latino descent?

Ethnicity

Use Ctrl + click to select multiple responses.

Do you have a driver's license?

YesNo

Do you have a learning, medical, or physical disability/condition?

PERSONAL INFORMATION - RETURNING STUDENTS

Legal First Name

Legal Last Name

Email Address

Home Phone

Cell Phone

Student ID (leave blank if you do not know)

Date of Birth

Example: 03/21/1987

Last 4 digits of your Social Security Number

This information is not used for anything other than identification purposes. Failure to provide a correct SSN will result in issues processing your enrollment.

EMERGENCY CONTACT INFORMATION

Emergency Contact Name

First and Last Name

Emergency Contact Phone

Emergency Contact Email

My emergency contact is my...

EDUCATION

What date did you receive your high school diploma or GED?

Example: 05/28/2019

Most recent High School attended

When you begin typing your school's name, a list of schools will begin populating. Select "Unknown HS" if your school is not listed.

Do you plan to participate in Ranken's Dual Enrollment program for high school students?

The Dual Enrollment program allows high school students to attend Ranken and work toward an Associate Degree during concurrent enrollment in high school. Program participants must be on track to graduate on time, meet the established attendance requirements, and meet GPA requirements of 2.5 or higher on a 4 point scale.

YesNo

Have you attended college before?

YesNo

FINANCIAL AID

How do you anticipate paying for college?

If aid does not cover all costs, how do you anticipate covering your remaining costs?

Are you eligible for the A+ scholarship? (Click here for eligibility information if you're not sure)

YesNo

Are you attending Ranken through a company sponsorship?

YesNo

Name of sponsoring Company

MILITARY INFORMATION

Are you a military service member or veteran?

Are you planning to use veteran benefits?

YesNo

Date of Separation (month/year)

Input anticipated Date of Separation if you are currently serving.

OTHER INFORMATION

What is your current occupation?

How did you hear about us?

Use Ctrl + click to select multiple responses.

If other please specify.

What additional information would you like while visiting Ranken?

Counselor

By submitting this application, you agree that the information you are providing is complete and accurate to the best of your knowledge.