You must have JavaScript enabled to use this form. Indicates required field Enrollment Information What would you like to study at SPSCC? Program of Study - Select -English as a Second LanguageHigh School DiplomaHigh School Equivalent/GEDReading/Writing/Math SkillsUndecided - Transition Studies Have you ever taken any classes at Washington State Community Colleges? No Yes I'm not sure ESL Testing and Registration Sessions Choose a testing and registration session Monday, June 10th, 10:00am-12:00pm, Olympia Campus, Building 28 Wednesday, June 12th, 5:00pm-7:00pm, Olympia Campus, Building 28 Personal Information Please tell us your legal name, your birthdate, and how we can contact you. This information will be used to create a student account at South Puget Sound Community College. First Name Last Name Email If you do not have an email address, please write: noemail@spscc.edu Telephone Address Additional Address Optional 2nd Address Line City State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Zip/Postal Code Country - Select -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta & MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorth MacedoniaNorwayOmanOutlying OceaniaPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Date of Birth MM/DD/YYYY date format Sex - None -FemaleMaleX/Non-binaryNot Exclusively Male or Female OPTIONAL Last 4 digits of SSN or Individual Taxpayer Identification Number You are not required to have a SSN or ITIN to take classes. Ethnicity Details Choose the answer that best matches. Your answers in this section do not affect your registration at the college. Are you Hispanic or Latino? Yes, I am Hispanic or Latino No, I am not Hispanic or Latino What is your Race? Select one or more African AmericanAlaska NativeAlaskan AthabaskansAleutianAmerican IndianApacheArgentinianAsianAsian IndianBannockBlack/African AmericanBlackfootCambodianCentral AmericanChehalisCherokeeCheyenneChicana/Chicano/ChicanxChickasawChileanChineseChippewaChoctawCoeur d Alene TribeColombianColvilleComancheCosta RicanCowlitzCreeCreekCrowCubanDelawareDominicanEcuadorianEl SalvadorianEskimoGalapagos IslanderConfederated Tribes of the Grand RondeGuajira/Guajiro/GuajirxGuamanian/ChamorroGuatemalanHawaiianHispanicHmongHohHonduranHopiIroquoisJamestownJapaneseKalispelKiowaKlamathKootenaiKoreanLaotianLa RazaLatina/Latino/LatinxLower Elwha Klallam TribeLumbeeLummiMakahMestiza/Mestizo/MestizxMexican-Amer, MexicanMienhMorenaMuckleshootNavajoNez Perce TribeNicaraguanNisquallyNooksackNuevo MexicanoOsageOther - AsianOther - HispanicOther Pacific IslanderPaiutePanamanianParaguayanPeruvianFilipinoPimaPort Gamble SKlallam TribePotawatomiPuget Sound SalishPuebloPuerto RicanPuyallupQuileuteQuinaultConfederated Salish & Kootenai TribesSamishSamoanSauk Suiattle Indian TribeSeminoleShoalwater Bay Indian TribeShoshoneSiletzSiouxSkokomishSnoqualmieSouth AmericanSpanish-AmericanSpanishSpanish-MexicanSpokaneSquaxin IslandStillaguamishSudamericana/Sudamericano/SudamericanxSuquamish TribeSwinomishTejanoThaiTlingitTohono O'OdhamTulalipUmatillaUpper Skagit Indian TribeUruguayanVenezuelanVietnameseConfederated Tribes of Warm SpringsWhiteConfederated Tribes and Bands of the Yakama NationYaqui What language do you speak at home? Spanish Vietnamese Mandarin Korean Other… Enter other… Supplemental Questions Your answers in this section do not affect your registration at the college. I can use the computer to (check all that are true) send an email use social media search the internet pay bills I cannot use a computer Were you ever in foster care since your 13th birthday? No Yes Has either parent earned a High School Diploma? No Yes Are you currently employed? No Yes Do you want information about Veterans educational benefits? No Yes Do you have legal refugee status here in the United States? No Yes Select refugee country - None -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta & MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorth MacedoniaNorwayOmanOutlying OceaniaPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabweÅland Islands I attest this information is complete and accurate. I authorize South Puget Sound Community College to create a student account for me.
