STC Application (Columbus)

How did you hear about Stay the Course?

Student Demographic Information

First Name

Last Name

Date of Birth

Please enter a valid Date of Birth in the format (MM/DD/YYYY)

For Internal Use Only (Hidden Fields)

Gender

Race/Ethnicity

For Windows: Hold down the Control button (Ctrl) to select multiple options. For Mac: Hold down the Command button (⌘) to select multiple options.

Another race or ethnicity (specify here)

Are you / HH Member in Military/ Veteran

Email address

Please enter the email address provided to you by your school

Telephone

Street Address

City

State

Postal/Zip code

County

Country

When is the best time to contact you?

What is your preferred method of contact?

CallTextEmailFor Windows: Hold down the Control button (Ctrl) to select multiple options. For Mac: Hold down the Command button (⌘) to select multiple options.

School Information

School Name

What is your home campus?

Student ID

eg. 1234567

CSCC

Are you taking classes at CSCC?

Are you associates, transfer, or certificate seeking?

Are you at least 18 years old?

Are you dual-enrolled in high school and community college?

Are you eligible for the Pell Grant?

Do you have a cumulative GPA of 2.0 or higher?

Find this information on your Unofficial Transcript through WebAdvisor.

Are you enrolled in at least six (6) credit hours this semester or next?

Do you have a previous degree from the U.S.?

If you have an international degree or a degree from an unaccredited institution, select "no".

Have you completed more than 40 credit hours?

Will you still be a student at CSCC after this semester?

Consent Information

By submitting this application, I authorize Stay the Course program staff to contact me by post, phone, e-mail, and/or text message (SMS) about the Stay the Course program.

Yes, I authorize.No, I do not authorize.