Smart Start Application

Please be aware that this is only a preliminary application form; There are additional eligibility requirements for this course.  Applications will be processed in the order in which they are received.  Due to the large number of inquiries, we are unable to respond to each inquiry, but we will be in contact with eligible candidates. 
 
Please submit only one application for this course.  Important: This program is dependent upon grant funding, which can be withdrawn at any time. 

First Name *
Last Name *
E-mail *
Phone Number *
Street Address *
Apt. Number
City *
State *
Zip Code *
Why are you interested in this program? Please explain: *
Please click here for the course schedule
Are you able to attend all classes under this schedule? *
       

Are you a U.S. citizen or permanent resident with permission to work? *
       

Do you have a HS diploma or GED? *
       

Do you think you could pass the eligibility requirements *
       

Click here for the list of requirements

Have you ever applied to and/or taken classes at PCCC? *
       

If yes, what is your PCCC ID number?
If a current student, how many credits are you taking?
List or explain any courses, certificates, or degrees completed after high school *
How did you hear about this program? (click all that apply) *
                       

If you replied "Other" please specify: