We Are Experiencing technical difficulty with the Online Application
Please Email Mr. Jackie Brockington - jkbrockington@clintonjuniorcollege.edu for info -or-
download an application from the Admissions page (.pdf format)

Thank you for your patience!

CLINTON JUNIOR COLLEGE

Online Application for Admission
Please complete the following information. This Application should be submitted with a nonrefundable $25 application fee, unless you are applying for readmission. Please answer or complete every item in each section to avoid a processing delay. You may pay via postal or bank money order, cashier's check, cash or certified check. -Tuition-
Office Use Only:
Date Application Received:   
Application Fee/Waiver:

Complete each field where applicable

Personal Information
First Name:
 Middle Name:
 Last Name:
Social Security #:
(999-99-9999)

Required for US Citizen & Resident
for processing		 Date Of Birth
(mm/dd/yyyy)
 Gender:
Male Female
Place Of Birth
State:

County:
 Ethnic Information:
Black Non-Hispanic
Hispanic
Asian
African
American Indian
Multi-Racial
White Non-Hispanic
 Criminal Convictions: Yes No
If yes please explain:
Citizenship:
US Citizen
Foreign National US Resident
Foreign National Non-Resident Alien
 If not US citizen please name your home country:
Marital Status:
 Resident Of SC
Yes No 		County of Residence
     
Denomination:
Home Church/City/State:
Your Email address:(if available)
Carefully enter email address and CHECK FOR ACCURACY
Enrollment Information/Major
How did you learn about Clinton Junior College?
Are you a '1st-generation' college attendee?
Yes No

Intended Degree:

Application Type

 Intended Major:
Term Applied For:
 Prior Student #(If Any)
I will be primarily a:
Day Student Evening Student		 I will attend:
Full Time (12 hrs)
Part Time (less than 12 hrs)
I will be a: Resident Student Commuting Student  
High School Information
High School Last Attended
 City
 State
 Graduation Date
Highschool GPA
(Freshman Only)
 Cumulative GPA
(Transfer Only)
 Which of the following test have you taken: ACT SAT
Approx. Test Date:
Mailing Address Information
Present Mailing Address
Street:     
APT./C.O.:
City:       
State:      ZIP:
Country:  
Telephone Number: 
Permanent Mailing Address
Street:
APT. / C.O.:
City
State:  ZIP
Country
Telephone Number
Emergency Contact
Name: Number: Relationship:
If a prior name was used while attending Clinton Junior College please list it here:

Please list all Community Colleges/Colleges, Cities, States and dates of attendance, declared majors,
degrees/certificates and graduation dates below:

Name of Institution

City

State

Major

Degree/Cert

Grad Date
(mm/dd/yy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please have official transcripts from all other Colleges/Institutes
attended sent to:
Office of Enrollment Management,
Clinton Junior College, 1029 Crawford Rd, Rock Hill, SC 29730
1 877 837-9645 - toll free
803 327-7402 Ext 222 - Office
803 327-3261 - Fax
www.clintonjuniorcollege.edu

I understand that withholding information requested in this application or giving false information may make me ineligible for admission to or continuation in Clinton Junior College. With this in mind, I certify that all information is true, correct and complete. Further, if I am admitted, I agree to abide by the rules and regulations of the College

Press the button below to SUBMIT your application - By doing so you are agreeing to the terms and conditions stated above.



Clinton Junior College is committed to equal opportunity in employment and education. The College does not discriminate in any program including admission of students and employment on the basis of race, color, national origin, sex, religion, age or handicap.