Which best describes your current objective?
STOP! You may be completing the wrong application:
Only complete this application if you are a U.S. Citizen AND are planning to take college classes while still in high school. If this does not apply to you, please return to the Admissions page to choose the correct application for you.
First Name (Legal)
First Name (confirm spelling)
Last Name (confirm spelling)
Preferred First Name
What year were you born?
Date of Birth
If your date of birth listed above is incorrect, please contact the SWCC Admissions department after completing this application at 641.782.1421.
Date of Birth Hidden
Social Security Number
Failure to provide your Social Security Number (SSN) may cause duplicate records and delays in the processing of your year-end tax documentation.
Race (Choose one or more)
If you are a nonresident alien of the US, you should stop completing this application and fill out the International Student Application for Admission instead.
Is English your first language?
Street Address Line 1
Street Address Line 2
Format: 12345 OR 12345-6789 OR 123456789 OR A1B 2C3
Cell Phone Number
Primary Phone Number
Personal E-Mail Address
School Email Address
If applicable, please input a high school or other school email address here.
Anticipated Academic Enroll Year
Anticipated Academic Enroll Term
Which location would you like to attend?
High School State
High School City
High School Attended
Are you homeschooled?
Anticipated High School Graduation Date
Home Phone Number
Work Phone Number
Are you on academic/social probation at any other college?
Please explain the circumstances around your probation at the other school
Have you ever been convicted of a felony?
Please explain the circumstances of your felony conviction
By submitting this application, I certify that the above statements are true and correct to the best of my knowledge. I agree to abide by all approved policies as outlined in the current edition of the college catalog. I agree to report all changes, including name and address, to the Admissions Office with the understanding that my admission may be delayed, if all changes are not reported.
I agree that by submitting an application to Southwestern Community College, I give consent to Southwestern to store and use personal and academic-related information for all recruitment and academic records-related activities. I also agree to allow Southwestern to use multiple forms of communication for the purpose of recruitment and academic-related information during my academic career. I understand that if I do not agree to this statement I cannot be admitted to Southwestern.
It is the policy of Southwestern Community College not to discriminate in its programs, activities, or employment on the basis of race, color, national origin, sex, disability, age, sexual orientation, gender identity, creed, religion, and actual or potential family, parental or marital status. If you have questions or complaints related to compliance with this policy, please contact: Equity/Title IX Coordinator, Southwestern Community College (Administration Center), 1501 W. Townline St., Creston, IA 50801; phone, 641.782.1456; or email, TitleIXCoordinator@swcciowa.edu, or the Director of the Office for Civil Rights, U.S. Department of Education, John C. Kluczynski Federal Building, 230 S. Dearborn Street, 37th Floor, Chicago, IL 60604-7204; phone, 312.730.1560; fax, 312.730.1576; TDD, 800.877.8339; or email, OCR.Chicago@ed.gov.
Applicants with health problems or disabilities, who may wish to request accommodations to succeed in their programs, should contact the director of student development at 641.782.1458.
Send an email acknowledgment of this submission to this email address:
Program of Interest
High School Award Earned
Did you receive a high school diploma?