Application for Admission – to Cochise College

4 - INFORMATION RELEASE
Do you give permission for the college to release directory information (Name, Major, Attendance Dates, Enrollment Status, Degrees Received, and most recent attended institution) as per the Family Education Rights and Privacy Act of 1974?*
5 - CITIZENSHIP STATUS
Students need to declare their citizenship or lawful immigration status and present designated documents for Prop 300. (List of Acceptable Documents PDF - link opens new window).
Citizenship*
If other, specify country*
Type of Visa*
If other, specify visa type*
6 - RESIDENCY INFORMATION
Upon acceptance to the college, all students are admitted in an out-of-state status and charged out-of-state tuition and fees. To qualify for in-state tuition, proof of citizenship/lawful presence and residency must be on file prior to the start of the term in which residency classification is being requested. It is up to the student to establish residency, citizenship status and/or lawful status prior to the start of classes. If eligible documentation is not on file prior to the start of the term, students will be charged out-of-state fees. Please visit the Establishing Residency section of our website for more information and to see a list of qualifying documents. Documents can be scanned and emailed to adm@cochise.edu or submitted at the closest campus or center near you, or to the Admissions Office at: Cochise College, Admissions, 901 North Colombo Ave., Sierra Vista, AZ 85635-2317. Please contact the Admissions & Records Office at 1-800-593-9567 if you have any questions about residency requirements.
I have read*

I have read and understand the above residency requirements for in-state tuition eligibility

Are you currently residing in Arizona?
Have you lived in Arizona since birth?
Have you resided in Arizona for a minimum of 365 days?
When did you move to Arizona (Month/Year)

Note: Change in residency status from out-of-state must be initiated by you. Cochise College will not automatically adjust your status.

7 - Enrollment Information

Semester you plan to enter Cochise College:*
Student Type*
Do you need to discuss your declared major with an advisor before the start of registration?
8 - DEGREES

Are you pursuing a certificate and/or degree?*
Which Area of Study are you pursuing?*
Which Degree or Certificate?*
Which Degree or Certificate?*
Which Degree or Certificate?*
Which Degree or Certificate?*
Which Degree or Certificate?*
Which Degree or Certificate?*
Which Degree or Certificate?*
Which Degree or Certificate?*
Which Degree or Certificate?*
Which Degree or Certificate?*
Which Degree or Certificate?*
Which Degree or Certificate?*
9 - MILITARY / VETERAN STATUS

Military/Veteran Status*
10 - FAMILY EDUCATION

Are you a first-generation college student? (Neither parent attended college)*
11 - TRANSFER

Are you planning on transferring to a 4 year university?*

12 - PREVIOUS HIGH SCHOOL INFORMATION

Previous School Information*
Did you attend high school internationally?*
Are you attending high school internationally?*
Graduation Date*
MM/YYYY
Expected High School Graduation Date*
MM/YYYY
Name of High School*
Online High School?*
City / State (Province)*
City State

13 - VERIFICATION
I certify that the information given is complete to the best of my knowledge. I understand that submission of false information is grounds for denial of admission or immediate suspension if enrolled. If accepted as a student at Cochise College, I agree to abide by the rules and regulations of the college regarding conduct and other obligations. By entering my name and date below and then clicking the Submit button I verify the above to be true.
Signature (Enter Full Name)*
Date*
MM slash DD slash YYYY

MM/DD/YYYY
Accessibility Services: The Accessibility Services office at Cochise College provides a variety of support services to meet the unique needs of faculty, staff, and students with documented disabilities. Our goal is to empower students, foster independence, promote success, and assist individuals in discovering and developing their full potential. Visit the Accessibility Services page online to request services and to contact us. Accommodation appointments can be made through our office at any time; we are happy to see you via Zoom, by phone, or in-person to best suit your needs.

Notice of Non-discrimination: Cochise College prohibits any discrimination as defined by Title IX of the Education Amendments of 1972 to include, but not limited to, gender-based discrimination, sexual harassment, sexual misconduct, and sexual violence. Such acts can interfere with a student's ability to participate in or benefit from the college's academic and non-academic programs, an employee's ability to function in the workplace, or a campus visitor's ability to utilize the college. Accordingly, these behaviors are strictly prohibited. The procedures within this policy are intended to afford a prompt, thorough, and impartial response from the college to an allegation of gender discrimination, sexual harassment, and/or sexual misconduct in accordance with Title IX. Any Title IX Violations are to be reported to the Title IX Coordinator at 520-452-2683 or fill out the Feedback/Complaint form.
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to Cochise College

Cochise College Admissions Application

This application must be completed for admission or re-entry to Cochise College.

Step 1 of 4

1 - STUDENT NAME / IDENTIFICATION

2 - CONTACT INFORMATION

3 - BIOGRAPHICAL INFORMATION

4 - INFORMATION RELEASE

5 - CITIZENSHIP STATUS

6 - RESIDENCY INFORMATION

7 - Enrollment Information

8 - DEGREES

9 - MILITARY / VETERAN STATUS

10 - FAMILY EDUCATION

11 - TRANSFER

12 - PREVIOUS HIGH SCHOOL INFORMATION

13 - VERIFICATION