Personal Information: Personal information such as name, address and e-mail address
First Name


Government ID-SSN

Any Prior Last Name(s)

Date of Birth

Mailing Address

Street Address


State / Province

Zip code

Primary Phone

Email Address

Begin Study In...

If you have attended NICC since High School graduation you are a returning or readmit (more than 1 year away from school) student.
What is your status?

Degree code that you prefer or leave blank if none of these apply to your plans.
Degree Code

What campus are you planning to attend? Please select the campus that best fits your plan?
Home Campus Location

How did you hear about NICC?

    required and     optional