STARS Application


By utilizing this form to submit your application to STARS you acknowlege that the STARS project will use the data provided on this form to assist in determining eligibility and assessing academic and/or career planning needs and that all information will be kept confidential.Our program may share information with other departments within NCCC in order to serve you better.

NOTE: Fields with the Red arrow to the right are required and MUST be filled out in order to submit the application.

 


 






Local address while attending NCCC






Permanent address when NOT attending NCCC





Name and Address of a person who will always know where you are










First Generation

Income Eligibility

If “No,” we require you complete a FAFSA as part of the application process, or give us a
signed copy of your income tax return. If you are a dependant student, we need a copy of your parents’
income tax return(s) and your income tax return (if you have one).
Disability Information





Academic Status









Assessment Data









Educational Data










Student Clearance & Approval




Notice of Non-Discrimination: Neosho County Community College does not discriminate on the basis of race, color, national origin, sex, age or handicap in admission or access to, or treatment or employment in its programs and activities. If you have questions regarding the above, please contact: The Title IX and section 504 Coordinator at Neosho County Community College, 800 West 14th Street, Chanute, KS 66720. Telephone (620) 431-2820 ext. 279 NCCC STARS Student Support Services Title IV Trio Program is 100% federally funded by the Department of Education at $279,501 annually. Adapted 08/21/09

 


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