Apply On-line at NHTI

(This application may be used to apply for Associate Degree, Diploma, Professional Certificate and Certificate Programs)

You may complete the application form below on-line and submit it electronically, or you may view and print it in Adobe PDF format, or Request a Copy by mail.
If you choose to download and print the application above in Portable Document Format (PDF), you will need the Adobe Acrobat Reader which is free and available for downloading by clicking on this icon.

For best results in completing the admission application, use the most recent version of Netscape or Internet Explorer.

Please be aware that anything that you submit on this application may be viewed by a third party. If you do not want to transmit your information electronically, please download, print and fill out the Adobe .pdf version of the NHTI Application for Admission located at the link above.

IS YOUR APPLICATION COMPLETE? CHECK THE FOLLOWING ITEMS:

All Applicants:

Please forward $10 non-refundable application fee (Checks made out to "NHTI" and should include applicant's name) under separate cover to:

Admissions Office
NHTI, Concord's Community College
31 College Drive
Concord, NH 03301-7412

Official high school transcript requested even if you received a GED (see NOTE below)
SAT or ACT scores (strongly recommended)
CEEB high school code number (verify with your high school)
GED scores enclosed (if applicable)
Prospective Major/Degree Program checked
Accurate Social Security number (submit copy of Social Security card if available)
Copy of current, valid driver's license
New Hampshire Residency section completed by NH residents only
Request for New England Regional Student Program completed and signed by out-of-state New England residents only
If you have taken a course(s) through Project Running Start, please have an official transcript sent. For information regarding application fee waiver for Running Start students please visit www.nhti.edu/academics/collhighschoolprog.htm#waiver
Signature of Applicant

Transfer Applicants:

All of the above list completed AND Official college transcripts requested (see NOTE)

US Permanent Residents:

Please supply proof of U.S. permanent residency status.

International Applicants

In addition to the General Admission Requirements and Specific Admission Requirements for the desired program, international students must submit the following:

Official English translation of all secondary school and university academic records;
Applicants whose native language is not English must take the Test of English as a Foreign Language (TOEFL) and earn a score of: 500 or higher on the paper-based test; or 173 or higher on the computer-based test; or 61 or higher on the internet-based test; inquiries regarding the test should be addressed to: TOEFL, Educational Testing Service, Box 899, Princeton, NJ 08540, USA; students earning a TOEFL score lower than those listed above may be evaluated for language study.
Letter of support from the person(s) who will be financially responsible for the student; letter should include student’s name, intent to attend NHTI and the amount of money available, must be in English and funds must be stated in US dollars;
Letter from the financial institution which holds funds of the person(s) financially responsible for the student; statement should be on official letterhead, indicate the sponsor’s and student’s names, the amount of money available for the student stated in US dollars and be in English;
Copies of current passport and immigration documents including current visa, Duration of Status (D/S) card, I-20, etc.;
Health care in the United States is expensive; international students are strongly encouraged to maintain adequate health insurance coverage during their studies. If necessary, policies are available for purchase through NHTI Health Services.

Dollar amounts promised by the sponsor and available in the sponsor’s bank account should be sufficient to cover a minimum of one year of expenses (out-of-state tuition, fees, room, board, books and miscellaneous expenses). Before a Certificate of Eligibility for an F-1 visa (I-20) can be issued, applicants must have submitted all documents required to be considered for admission into a program, be accepted into a program and have submitted the required TOEFL score and financial documents.

*Applicants scoring lower than above listed scores on the TOEFL may apply for the General Studies program with an emphasis on ESOL training for academic purposes. Each semester NHTI offers at least 9 credits of ESOL courses as well as a course in computer applications for ESOL students. These courses are designed to help students develop English language skills as well as self-confidence in dealing with challenges in learning, communication, and cultural adjustment in various academic programs at NHTI or other colleges.

NOTE: It is your responsibility to request that official transcripts be mailed directly to the NHTI Admissions Office. Each program has additional, specific admission requirements which can be accessed at www.nhti.edu/academics/specificadminreq.htm. Applicants are responsible for knowing these requirements, any specific deadlines, and submitting appropriate documents as noted.

Please note: Fields marked with a ^# sign are required and omitting them will prevent electronic processing.

Personal Information

Social Security Number ^#
Federal law requires that NHTI collect names and corresponding social security numbers for all students attending the college. The college is required by the internal Revenue Code to produce a 1098-T tax form (26 U.S.C.A. Section 6050 or Federal Register, Vol. 67, No. 2244, page 777686 (ii)) which requires the college to report the names and social security numbers of all students taking credit-bearing courses. Please note, however, that the college will ensure the security of the student’s social security number and will not disclose it to anyone outside the college, except as authorized by federal or state laws or applicable policies.

NAME

Last Name:^#
First Name:^#
Middle:

List other names used on school records:(Must be completed if applicable)

MAILING ADDRESS

Street:^#

City:^#

State: ^# Zip:

PREVIOUS ADDRESS (if lived at current address less than one year)

Street:

City:

State: Zip:

TELEPHONE NUMBERS / EMAIL

Home Phone Number:^#

Work or Cell Phone: Ext.:

Preferred Email Address:

OPTIONAL INFORMATION
Answering these questions is optional. They are used for statistical and counseling purposes. Your responses will not affect the admission decision.

Male Female

Date of Birth (mm/dd/yy)

Ethnic Background

NATIVE LANGUAGE / CITIZENSHIP

Is English your native language?:
If No, what is your native language?:

Are you a U.S. citizen?:
If NO, are you a U.S. permanent resident?:

Country of Citizenship?:

Current Visa Status:

If requesting I-20 (Application for F-1 Student Visa). Please enter your permanent address in your home country in proper mailing format:

Line 1:
Line 2:
Line 3:
Line 4:

Medical Emergency Contact Information

Please indicate the person who should be contacted in medical emergencies:

NAME OF (choose one): ^#
Last Name: ^#
First Name: ^#

STREET ADDRESS

Street: ^#

City: ^#

State: ^# Zip: ^#

TELEPHONE NUMBERS

Home: ^#

Work or Cell: Ext.:

Academic Program Information

When do you anticipate starting your program?
Semester:^#
Year:^#

Applying to: ^#

Enrollment Status:^#

Have you previously applied to NHTI? ^#
If yes, provide dates:

Have you previously attended NHTI? ^#
Dates/Program:

Are you applying for Academic Amnesty?
For more information please visit www.nhti.edu/academics/admisreq.htm#amnesty.

Are you a New England resident?
For information on the New England Regional Student Program (NERSP) please visit www.nhti.edu/admissions/paymentrefundpolicies.htm#residency.

Have you taken a course(s) through Project Running Start?
If YES, to which CCSNH location was the course(s) connected?

For these courses to be considered for transfer credit, have official transcript(s) sent to the NHTI Admissions Office.

PROGRAM OF STUDY (Choose one program only) *
^#

* NOTE for Certificate Program applicants who intend to apply for Financial Aid, now or in the future: In addition to the associate degrees, diploma and professional certificates, the certificate programs so noted by * are financial aid eligible. If you intend to apply for financial aid for one of these programs now or in the future, YOU MUST submit your official high school transcript (and GED scores if applicable) EVEN IF the specific admission requirements for the program to which you are applying do not include it.

High School/College Information

High School Last Attended: ^#

C.E.E.B. Code:

Address:

City: ^#

State:^# Zip:

High School Graduation Date (mm/dd/yy):

or Year G.E.D Awarded (mm/dd/yy):

College(s) Previously Attended

Name:

City:

State:

Dates Attended: (mm/dd/yy - mm/dd/yy)

Degree:

Name:

City:

State:

Dates Attended: (mm/dd/yy - mm/dd/yy)

Degree:

Miscellaneous

Please indicate below if a member of your family is attending or has attended NHTI.

Name:

Relationship:

How did you first learn about NHTI?:

   College Fair
   High School Guidance Counselor
   Current Student
   Family Member
   Area Resident
   Other:

Residency Status

For a detailed discussion of New Hampshire and New England residency policies please visit www.nhti.edu/admissions/paymentrefundpolicies.htm#residency.

NEW HAMPSHIRE APPLICANTS

Enter month and year student moved to New Hampshire

Month/Year

I have always lived in New Hampshire

NEW ENGLAND REGIONAL STUDENT PROGRAM (NERSP) APPLICANTS

The New England Regional Student Program enables a resident of a New England state to enroll in a public college or university in the six state region at reduced rates for certain degree programs if:

The program is not available in the home state public institutions; and/or
The out-of-state public institution is nearer to the student’s residence than the in-state institution that offers a similar program.

For New England residents who wish to be considered for NERSP:

I am a resident of
Town/City State
and request to be considered for NERSP.

I am applying for
Major

Signature of Student

Applicant's Signature

TO BE SIGNED BY ALL APPLICANTS

The information provided by the applicant on this admission application form shall be held confidential to the extent determined by Federal law and NHTI policy. NHTI, Concord's Community College reserves the right to deny admission to any applicant, who, in the judgment of College officials, does not qualify for admission. NHTI also reserves the right to require withdrawal of a student who does not satisfy the ideals of citizenship, character, or scholarship.

In accordance with the terms and conditions set forth in its publications, and if accepted, I agree to abide by the rules and regulations set forth in the publications and in the student handbook. I also agree that NHTI has permission to use any College-sponsored pictures in which any likeness appears.

I certify that I have read and agree with the above, and that all information provided herein is true and complete.

I Agree^#
Applicant name:^#

Date (mm/dd/yy):^#

I Agree
Parent name: (if applicant is under 18 years old)

Date (mm/dd/yy):

Statement of Nondiscrimination

Reminder

Please forward $10 non-refundable application fee
(Checks made out to "NHTI" and should include applicant's name)
under separate cover to:

Admissions Office
NHTI, Concord's Community College
31 College Drive
Concord, NH 03301-7412

NHTI, Concord's Community College, is one of seven colleges in the Community College System of NH. For information on any of them, dial toll free 1-800-247-3420.