APPLICATION FOR ADMISSION 
This application is also available online at apply.atlantic.edu 
ADMISSION TO ATLANTIC CAPE COMMUNITY COLLEGE 

Admission is available to all applicants who are 18 years of age and older or have graduated from an accredited secondary or 

preparatory school, or those with a State equivalency certificate (GED). The collegeÕs Nursing, Radiologic Technology,..
Professional Helicopter Pilot Training, Professional Pilot Training and Air Traffic Control programs have additional criteria that..
must be met before a student is accepted into those programs. Contact the Admissions Office at (609) 343-5000/(609) 343-4830/..

(609) 463-3958 for more information...
Atlantic Cape does not discriminate in admission or access to its programs and activities on the basis of race/color, national origin, 
religion/creed, disability, age, marital status, gender, sexual orientation or veteran status. 

STUDENTS SEEKING A DEGREE/CERTIFICATE/PROFESSIONAL SERIES: 

¥ Complete this form, indicating the desired program of study, and submit a $35 non-refundable application fee...
Make..check..or money order payable to Atlantic Cape Community College...
¥ Forward a copy of final high school(s) transcript(s) or GED to the Admissions Office...
STUDENTS NOT SEEKING A DEGREE: 

¥ Complete this form, indicating the program of study as ÒUndeclared,Ó and submit a $35 non-refundable application..
fee. Make check or money order payable to Atlantic Cape Community College. Acceptance to the college is automatic..
upon receipt of the application and payment of the fee. Students not seeking a degree are not eligible for financial aid...
STUDENTS APPLYING FOR CONTINUING EDUCATION (NON-CREDIT) PROGRAMS: 

¥ Complete this form, indicating the desired career training program and submit the application to the Admissions Office...
There is no application fee for Continuing Education programs. Program prerequisites must be met to enroll...
INTERNATIONAL APPLICANTS: 

¥ F-1 students must complete the Application for Admission, Supplemental Form for International students, 
Sponsorship Form, Confidential Financial Statement and submit a non-refundable $100 application fee and the 
required deposit. Forms are available from the Admissions Office or at www.atlantic.edu. Atlantic Cape is 
authorized under Federal law to enroll nonimmigrant students. All other international applicants should complete 
this application for admission and pay the $35 non-refundable application fee. For further information call the 
Admissions Office at (609) 343-5608...
TESTING REQUIREMENTS: 

¥ Degree- and non-degree-seeking applicants take the ACCUPLACER..Placement Test by contacting the Testing Office..
at (609) 343-5099 or (609) 463-3775.Students can meet the testing requirement by providing the appropriate minimum SAT,..
ACT, or PARCC scores, no more than four years old, to the Testing Office. Contact the Testing Office for minimum..
required scores. Students that previously attended college may be able to meet the testing requirement by submitting an..
unofficial college transcript demonstrating successful completion of college-level English and mathematics to the..
Admissions Office...
¥ Continuing Education applicants take the Test of Adult Basic Education (TABE) by contacting the Testing Office at (609)..
343-5099 or (609) 463-3775...
¥ Students whose native language is not English will be required to take the Oxford Online ESL Placement Test...
Placement into the ESL program is based on the results of this exam. If, upon review of the ESL test, a student is..
declared exempt from the ESL program, the student must then take the ACCUPLACER English Placement Test...
Exemptions for the Oxford ESL Test include a minimum TOEFL result of IBT54, PBT480, CBT157 or a minimum SAT,..
ACT, or PARCC score. Send TOEFL, SAT, ACT, or PARCC scores to the Testing Office. ESL test scores are valid for one..
year. Students who are absent from the college for a period of more than 12 months must retake the Oxford ESL Test to..
re-evaluate studentsÕ skills. For more information, contact the ESL area coordinator...

INSTRUCTIONS 

Return the signed, completed application with your non-refundable $35 application fee, if required, to any of Atlantic CapeÕs locations, or mail to 
Admissions Office, Atlantic Cape Community College, 5100 Black Horse Pike, Mays Landing, NJ 08330. Your application will be processed and 
you will receive information regarding registration. Select ONE program of study from the list below...

CREDIT PROGRAM OF STUDY/MAJOR Ð (Select only one) 

If you plan to transfer to a four-year institution, choose from an Associate in Arts (A.A.), Associate in Fine Arts (A.F.A), or Associate in Science (A.S.)..
degree." If you want to prepare for a job at a technical or semiprofessional level after completing your program at Atlantic Cape, choose from the..
Associate in Applied Science (A.A.S.) degree offerings. The Professional Series offers selected courses in related subject areas that provide students with..
entry-level skills for specific jobs. Continuing Education career training programs offer short-term training to update or improve job skills...

ASSOCIATE IN FINE ARTS (A.F.A.) 

__ Fine Arts Studies 

ASSOCIATE IN ARTS (A.A.) 
__ Communication..__ English Option..__ Social Science Option..
__ Liberal Arts*..
(select as a major or choose an option) 
__ Child Development/Child Care Option..
__ Elementary/Middle School Education Option..
__ Performing Arts Option..
__ Preschool Ð Grade 3 Option..
__ Psychology Option..
__ Secondary Education Option..
__ Sociology Option..
__ Studio Arts 

ASSOCIATE IN SCIENCE (A.S.) 
__ Aviation Studies __ Criminal Justice..__ Human Services 
__ Biology..__ Engineering..__ Mathematics 
__ Biomedical Science..__ Environmental Science..__ Paralegal Studies 
__ Business Administration..__ General Studies*..__ Professional Helicopter Pilot, Aviation Studies Option 
__ Chemistry..__ Geographic Information Systems, CIS Option __ Professional Pilot, Aviation Studies Option 
__ Computer Information Systems..__ Health Science 
*Designed to accommodate students who are undecided about a career and wish to explore different fields...

ASSOCIATE IN APPLIED SCIENCE (A.A.S.) 

__ Air Traffic Control Terminal..__ Culinary Arts..__ Nursing..
__ Baking and Pastry..__ Database Design and Development,..__ Office Systems Technology..
__ Business Administration..Comp. Prog. Option __ Paralegal Studies 
__ Computer Applications, OST Option __ Food Service Management __ Radiologic Technology..
__ Computer Programming..__ Hospitality Management __ Technical Studies..
__ Computer Systems Support..__ Media Studies 

CREDIT NON-DEGREE, PROGRAMS AND CERTIFICATES (Please note: Undeclared students are not eligible for financial aid. Consult with the 
Financial Aid Office to determine eligibility of certificate programs.)..

__ Undeclared..
__ Baking and Pastry I..
__ Business Administration Certificate..
__ Business Paraprofessional..
__ Culinary Arts I..
__ English as a Second Language..
__ Human Services 
Management Certificate..__ Flight Instructor..

PROFESSIONAL SERIES 

__ Addiction Counseling Specialist..
__ Baking/Pastry Specialization..
__ Business Leadership Professional..
__ Catering Specialization..
__ Child Development Associate (CDA)..
__ Commercial Pilot..
__ Computer Forensics Specialist..
__ Computer Security Specialist..
__ Computer Technician Specialist..

__ Computerized Accounting Specialist..

__ Entrepreneurial Professional..
__ Fine Arts Professional 
__ Food Service 

Management Specialization 

__ Geographic Information Systems..
Office Specialist..

__ Help Desk Specialist..

__ Hot Food Specialization 

__ Human Resources Professional..
__ Media Production Specialist 
__ Microsoft Office Specialist..
__ Office Professional Specialist..
__ Oracle Database & GIS Specialist..
__ Oracle SQL Programming..

& Database Design Specialist..
__ PC Specialist..
__ Project Management..

__ Records & Information Management..
Specialist 

__ Smartphone Programmer 

__ Unmanned Aircraft Systems Specialist..
__ Web Design Professional..
__ Windows Server Specialist 

CAREER TRAINING PROGRAMS (WORKFORCE DEVELOPMENT) (no application fee) 

__ A+ Certification..Network Associate (CCNA)..__ Gas Industry-Utility..Solutions Associate (MCSA)..
__ Baking & Pastry Training Program..__ Computer Technical Solution Series..Locate Technician..__ Monitor Technician..
__ Business Technology Specialist..__ Culinary Arts Training Program..__ Network+ Certification..

__ Inpatient Coding (In Hospital)..
__ Central Service Technician..__ Medical Assistant -Daytime Option*..

__ EKG Technician..__ Operating System Concepts..
__ Certified Home Health Aide..__ Emergency Medical Technician..__ Medical Assistant __ Patient Care Technician..
__ Certified Nurse Aide (CNA)..Certification..Evening Hybrid Option*..__ Phlebotomy Technician..
__ Cisco Certified..__ Gas Industry-Operations Technician..

__ Microsoft Certified..

*Financial Aid may be available for eligible students 


OFFICIAL USE ONLY 
CK# _________________________ 

I hereby certify that the following information is true and correct to the best of my knowledge. I understand that submission of false 
information may result in dismissal from the college. In addition, I understand that upon my enrollment, I will abide by the policies..
and regulations of the college. I am aware the application fee is non-refundable. I also certify that I reside permanently at the address..
given on this application in the County of _______________________________________________________________________________________ 

Signature: ________________________________________________________________ Date: ______________________ 
PERSONAL INFORMATION 

Name:________________________________________________________________________________________________ 

Last..First..Middle..Jr.,..Sr.,..etc...

Address:______________________________________________________________________________________________ 

Street..Apt. #..

City..State..ZIP..County..

Cell Phone # __________________________________________ Other Phone # _________________________________ 
Email Address: _______________________________________________________________________________________ 

Would you like to receive important college information from Atlantic Cape via text message? 


Yes 


No 

ADDITIONAL INFORMATION (for reporting purposes only) 
Social Security Number*: ________ -_____ -_______ Gender: __Male __Female Date of Birth: ___ /..___ /..___ 
Veteran: ______ Yes.._____ No..
Ethnicity: ____ Hispanic/Latino ____Non-Hispanic/Latino ____Decline to answer..
Race:_____ American Indian/Alaskan Native _____ Asian ____Black..or..African..American..
_____ Hawaiian or Pacific Islander ____White ______ Decline to answer..

*Your SSAN information will be used only for internal college purposes and will not be released, except in accordance with applicable law. 

EMERGENCY CONTACT PERSON 
Name:________________________________________________________________________________ 
Daytime..Telephone..Number:.._______________________________________________________________ 

APPLICATION INFORMATION 

Term of entry: ____FALL____ ____ SPRING ____ ____SUMMER ____ ____CONTINUING 
(Check one) (year) (year) (year) EDUCATION 
I am applying as a ____ Freshman Student ___Transfer Student* 
(Check one) ____ Visiting Student** ___Continuing Education Student 

____ High School Admit (Attach letter of recommendation from high school guidance counselor)..
Preferred Location (Check one): ___ Mays Landing Campus ___ Atlantic City Campus 
___ Cape May County Campus ___ Online 

*To transfer courses into Atlantic Cape, list all colleges attended under Educational Data and have an official transcript sent from each college..
to the Admissions Office. You must also complete an official Evaluation Form in order to transfer any credits applicable to your program of study...
You can view and print this form at www.atlantic.edu or request one from the Admissions Office. There is a $25 fee to evaluate transfer credits...
**Students from other colleges who wish to take a course or courses at Atlantic Cape are considered ÒVisiting StudentsÓ and should indicate their 
program of study as ÒUndeclared.Ó They must submit an unofficial transcript as proof of completing college-level work and/or course prerequisites..
or submit placement test scores or a letter of permission from their home college. There is no evaluation fee for an unofficial transcript...


REASON FOR ATTENDING 

Why are you attending Atlantic Cape? (Check one) 

____ NJ STARS funding..
____ To complete an Associate degree and transfer to a four-year college..
____ To complete an Associate degree and seek employment..
____ To complete a certificate or professional series of courses..
____ To seek an additional degree..
____ To develop or improve job skills..
____ To take some Atlantic Cape courses and transfer to a four-year college..
____ To take an Atlantic Cape course(s) for one semester while attending another college..
____ For self improvement or intellectual growth 
____ Other (please specify).._________________________________________________________________________________________ 

CITIZENSHIP 

____ US Citizen..________ Permanent Resident (Attach copy of residency card) ____ Visa holder (attach copy of visa)..
Country of Birth ________________________________ Native Language________________________________ 
Visa Type: _________________Visa holders must also complete the Supplemental Form for International Students...
You can view and print this form at www.atlantic.edu or request one from the Admissions Office...

EDUCATIONAL DATA 
HIGH SCHOOL/HOME SCHOOL/GED INFORMATION 
High School:______________________________________________________________________________________________________ 
Address: _________________________________________________________________________________________________________ 

City..State..ZIP..
Start date: ______________________MM/YYYY..End date: _________________ MM/YYYY..

____Check here if you are a home-schooled student..
____Check here if you attended a non-US high school..Country:__________________________________________________ 

Date of graduation or anticipated date:.._______________________________________________________________________________ 
Request final high school transcript to be sent to the Atlantic Cape Admissions Office..

If you did not complete high school, did you receive a General Equivalency Diploma (GED)?..___Yes..____No..
If ÒYESÓ, please submit a copy of GED and test results to the Admissions Office. 
Date or anticipated date of GED completion:..__________________________________________________________________________ 

Are you at least 18 years of age?..____Yes..____No..
If ÒNOÓ contact the Admissions Office for information...

NJ STARS eligible?..____Yes ____No 
Interested in the Honors Program?..____Yes ____No 

PROJECT SECOND CHANCE 

Non-high school graduates have an opportunity to earn a state-issued high school diploma through Atlantic CapeÕs Project Second..
Chance. If you are at least 18 years of age and do not have a high school diploma or GED, you may be eligible to participate in this..
program. Contact the Career and Academic Planning Center for details, (609) 343-5630...

Project Second Chance (PSC) _____Yes..What grade did you complete?..______________________________________ 

COLLEGES ATTENDED* 

College(s) attended: _______________________________________________________________________________________________ 
State: __________________________________ Degree(s) awarded: ________________________________________________ 
Start date: ______________________________MM/YYYY..End date: _______________________________________ MM/YYYY..

College(s) attended: ______________________________________________________________________________________________ 
State: __________________________________ Degree(s) awarded: ________________________________________________ 
Start date: ______________________________MM/YYYY..End date: _______________________________________ MM/YYYY..

____Check here if you attended a non-US college Country:__________________________________________________________ 

*attach additional pages if necessary Revised September 2017