Admissions Form

Getting started at EAC begins with Step 1: the Admissions Form. Submit it today to take the first step to an exciting future at EAC.

Don’t want to wait? Call us today and complete this first step over the phone. Call the Records and Registration Office at (928) 428-8270 or (800) 678-3808, ext. 8270, during our regular business hours, Monday through Friday, 8 a.m. to 5 p.m., to be admitted immediately.

The Records Office will give you your Monster and Student IDs so you can complete Step 2 and activate your Gila Hank Account, which will give you immediate access to register for classes and to access your Monster Mail account.

 

 

 

The Social Security Number is not used as the Student
Indentification Number. Students will have a unique
Student Identification Number assigned. Students should
be aware that a correct Social Security Number must be on
file for reporting information pertaining to potential tax credits,
and must be used by applicants for federal and state aid.
Failure to provide a correct Social Security Number may diminish
student's opportunities for federal tax credits

   

If we need to contact you between 8 a.m. and 5 p.m. on weekdays, do you 
prefer we use your:
-- mm/dd/yyyy Gender:*
  

 

Residency Determination:

These questions are asked for the purpose of determining
tuition and fees. State law now requires that a person who
is not a citizen or legal resident of the United States or who
is without lawful immigration status is not entitled to
classification as an in-state student pursuant to
A.R.S. Section 15-1802 or entitled to classification as a county
resident pursuant to A.R.S. Section 15-1802.01. Students will
be classified as out-of-state for tuition and fee purposes until
proper documentation is provided. The responsibility of
registering under the proper residency classification is placed
upon the student. Any student who falsifies his/her residency
may be subject to dismissal from the College and/or criminal
action. Refer to the College catalog for residency guidelines.

Citizenship:  OR
   
     

Are you a legal Arizona resident  

-- mm/dd/yyyy

-- mm/yyyy

-- mm/dd/yyyy

 Proposition 300, passed by Arizona voters in November 2006,
   stipulates that college students who are not legal United States
   citizens or are without lawful immigration status must pay
   out-of-state tuition.

 

Education Status: (Check all that apply)

 

  -- mm/yyyy

 

  -- mm/yyyy

-- mm/yyyy

   -- mm/yyyy

-- mm/yyyy

 

Reason for Enrollment:





 

Major Emphasis of Your Educational Program:

Transfer Degrees:
Occupational:
 
Other:
 

 


(Find your five-digit major code in the curricula
section of the current academic catalog here)


 

*


 

Do you give permission for the College to release directory
information relative to your enrollment (as per the Family
Educational Rights and Privacy Act of 1974)? 

 

* Information you provide is voluntary and confidential and is used
   to comply with federal reporting requirements and has no effect
   on your enrollment status.

 

Please click the submit button only once and wait for the
form to be submitted. When your submission is successfully
received,  a confirmation page will be displayed.

 

Eastern Arizona College welcomes qualified students without regard to sex, age, race, color, disability or national origin. EAC adheres to Title IX of the Educational Amendments of 1972. Eastern Arizona College is in full compliance with the Crime Awareness and Campus Security Act of 1990. See the "Security and Safety" section of the online College Catalog for crime statistics. Contact Campus Security Officeer Mike McEuen at (928) 428-8240 for more information.