First Name: Middle Name: Last Name:

Mailing Address:

City:

State:

Zip Code:

Military Installation:

Email Address:

Anticipated Semester of Completion: Fall 20 Spring 20 Summer 20

University # 1

University # 2

University # 3

University # 4

*If you plan to include transfer work from other colleges/universities towards your Certificate/degree from RSC, an official transcript from each institution must be on file with the Office of Admissions and Records prior to having this application evaluated. Transcripts must be requested by the student and sent directly to the Office of Admissions and Records. If you are currently attending another college or university and plan on using the courses toward your Certificate/degree, a copy of your enrollment should be submitted with this application.

I am applying for Two-year Degree (check all that apply):

Associate of Arts Degree General Requirements (AA-GR)
Associate of General Studies Degree (AGS)
Associate of Applied Science Degree in Computer Technology (AAS-CT)
Associate of Applied Science Degree in Public Administration (AAS-PA)
Associate of Applied Science Degree in Organizational Leadership (AAS-OL)
Associate of Business, Computer Information Technology (AB-CT)

Certificate of Completion (check all that apply):

Program: Computer Technology
Program: Desktop Publishing
Program: Networking
Program: Programming
Program: Technology Troubleshooting and A+ Preparation
Program: Technology Help desk Support
Program: Web Master
Program: Organizational Leadership
Program: Quality Customer Service

Commencement Program Booklet Deadline March 1st