Online Registration Form

Step 1 of 5

Applicant Information

Please Enter all Required fields marked with *

An application matching the Name and SSN entered is already on record.

Social Security Number may not begin with 123-45

Prefix

First Name*

Last Name*

Middle Name

Suffix

Preferred First Name*

Maiden Name

Other Last Name
List other last names that may appear on official records.

U.S. Social Security Number*
(XXX-XX-XXXX) Social Security Number is mandatory. If you do not have an SSN or Tax ID Number, please complete a paper application.
- -

Date of Birth*
(mm/dd/yyyy)
/ /

Contact Information

Permanent Mailing Address

Street/PO Box*

City*

State*

Zip*
(xxxxx)

Phone Type

Phone Number*
(xxx-xxx-xxxx)
() -

Current Mailing Address (Same as my permanent mailing address above)

Street/PO Box*

City*

State*

Zip*
(xxxxx)

Phone Type

Phone Number*
(xxx-xxx-xxxx)
() -

Mailing address valid until the following date:
(mm/dd/yyyy)
/ /

Email Address *

Step 3 of 5

Enrollment Information

Please choose a Major

Start Term

Degree Type
*Note non-degree seeking students are not eligible for Financial Aid.

Program Type:
Academic Program Professional Tech Program

Major *

Enrollment Status
* If you will be a high school, home school or GED graduate and attending college for the 1st time, please select "Freshman." If you have previously taken college coursework after finishing high school or GED, please select "Transfer." If you are still in high school and would like to register for a Dual Credit course please go to the Dual Credit page.

Are you planning on applying for Financial Aid?
Yes No

*Note non-degree seeking students are not eligible for Financial Aid

Step 4 of 5

Academic Information

ACT, Date / / (mm/dd/yyyy)

SAT, Date / / (mm/dd/yyyy)

COMPASS, Date / / (mm/dd/yyyy)

List the last high school you attended and any schools since, including colleges, trade schools, correspondence, etc. Do not omit any schools. Attach a separate sheet if more space is needed. Failure to list all schools attended, or submission of inaccurate information, is considered fraud and is cause for refusal of admission or dismissal from the institution. Students seeking certificates or degrees must have official transcripts submitted from each school listed. To be considered official, transcripts must be mailed in a sealed envelope directly from the school to the institution’s admissions office.

Did/will you graduate from High School?
Yes Graduation Month Year No

State

High School:

If High School is not listed please enter it

Do you have a GED or High School Equivalency Certificate? If yes, degree-seeking applicants are required to submit official GED test scores.

Yes (Month Year ) No

Are/were you a Tech Prep Student? Yes No

Colleges Attended

Most Recent College Attended: (if applicable)

State

College/School Attended

City

College 2 (if applicable)

State 2

College/School Attended 2

City 2

College 3 (if applicable)

State 3

College/School Attended 3

City 3

College 4 (if applicable)

State 4

College/School Attended 4

City 4

College 5 (if applicable)

State 5

College/School Attended 5

City 5

Add Another School Add Another School Add Another School Add Another School

Step 5 of 5

Residency

Idaho residency status MAY be determined by one or more of the following. Please check all statements that are applicable if claiming Idaho residency for tuition purposes. Residency for community colleges is determined by county of residence.

I HAVE LIVED ONLY IN ADA, BONNEVILLE, CANYON, TWIN FALLS, KOOTENAI, OR JEROME COUNTIES IN IDAHO FOR THE LAST 12 CONSECUTIVE MONTHS.
Note: You must have lived in Idaho for at least the previous 12 months and in one or more of the above counties. Only list current county.

I HAVE LIVED IN IDAHO FOR THE LAST 12 MONTHS BUT IN A COUNTY OUTSIDE OF ADA, BONNEVILLE, CANYON, TWIN FALLS, KOOTENAI, OR JEROME.
Note: You have lived in Idaho for the previous 12 months, or more; however you are a legal resident of a county outside Ada, Bonneville, Canyon, Twin Falls, Kootenai, or Jerome.

I currently live in Idaho but have lived in Idaho for less than 12 months.
Note:You live in Idaho but you are still a legal resident of a state other than Idaho.

I currently live outside the state of Idaho
Note: I currently live outside the state of Idaho and have established legal residency in a state other than Idaho.

Please enter all require residency information

Current Residency State* (If outside the U.S. please choose NA)

State Residency From* / / (mm/dd/yyyy)

Previous Residency State*

Previous Resident State From* / / (mm/dd/yyyy)

Previous Resident State To* / / (mm/dd/yyyy)

Current Residency County*

Resident County Since* / / (mm/dd/yyyy)

Previous Residency County*

Previous Resident County From* / / (mm/dd/yyyy)

Previous Resident County To* / / (mm/dd/yyyy)

One or more of my parents/legal guardians or spouse’s parents is a resident of Idaho and has maintained a bona fide domicile in Idaho for at least one year prior to the opening day of the school term during which I plan to enroll. If I am a community college applicant, I receive at least 51% of my financial support from my parents/legal guardians.

Parent's Name

Address

City

From: / / (mm/dd/yyy)

To: / / (mm/dd/yyyy)

I am a graduate of an accredited Idaho high school and I will attend this institution during the term immediately following graduation. If I am a community college applicant, this item may not be applicable to determine residency.

I am married to an Idaho resident.

My spouse is a resident of County

I or my spouse is a member of the Armed Forces stationed in Idaho on military orders, or Idaho is my or my spouses designated military home of record. Records may be requested.

Armed Services Stationed County

One or more of my parents or legal guardians, from whom I receive fifty percent or more of my support, is a member of the Armed Forces stationed in Idaho. Records may be requested.

Armed Services Stationed County

I have been separated under honorable conditions from the Armed Forces after at least two years of service. At the time of separation, I designated the State of Idaho as my intended domicile or indicated Idaho as my home of record, and I am entering this institution within one year of the date of separation. Records may be requested.

I have been away from the State of Idaho for a period of less than 30 months. I have not established legal residence elsewhere. I was a resident of the State of Idaho for a continuous 12-month period immediately prior to departure. Time spent away from Idaho enrolled in a post-secondary education program shall not be included in the 30 month limit.

I am a member of one of the following Idaho American Indian tribes: Coeur d’AIene; Shoshone-Paiute; Nez Perce; Shoshone- Bannock; Kootenai; Eastern Shoshone. Records may be requested.

Online Application

Online Application Form

Applicant Information

Contact Information

General Information

Emergency Contact

Enrollment Information

Academic Information

Colleges Attended

Most Recent College Attended: (if applicable)

State

College/School Attended

City

College 2 (if applicable)

State 2

College/School Attended 2

City 2

College 3 (if applicable)

State 3

College/School Attended 3

City 3

College 4 (if applicable)

State 4

College/School Attended 4

City 4

College 5 (if applicable)

State 5

College/School Attended 5

City 5

Residency