KCCD Application

When do you plan to start attending college? *

First Name *

Your First Name can only contain letters, spaces, apostrophes ('), and dashes (-).

(NOTE: Only the first letter should be capitalized)

– John-Richard
– John Richard
– john-richard
– john richard
– D'Andre

Middle Name

Your Middle Name can only contain letters, spaces, apostrophes ('), periods (.), and dashes (-).

(NOTE: Only the first letter should be capitalized)

– John-Richard
– John Richard
– john-richard
– john richard
– D'Andre
– M.

Last Name *

Your Last Name can only contain letters, spaces, apostrophes ('), and dashes (-).

(NOTE: Only the first letter should be capitalized)

– John-Richard
– John Richard
– john-richard
– john richard
– D'Andre

Social Security Number *

SSN must be nine (9) numbers and cannot contain special characters.

I don't have a Social Security Number

Date of Birth *

Please verify your birth date. The date you selected is too recent.

Gender *

Male Female

Nation of Permanent Address

Address (Number/Street) *

Your Street Address can only contain letters, numbers, spaces, commas, apostrophes, periods, and dashes.
Please use a physical address as your home / permanent address. (Do not use a P.O. BOX)

City *

Your City can only contain letters, spaces, and dashes.

State

Zip *

The Zip must be five (5) numbers.

I'd like the college to use a different address when sending me mail.

Mailing Address

Nation of Mailing Address

Address *

Your Mailing Street can only contain letters, numbers, spaces, commas, apostrophes, periods, and dashes.

City *

Your Mailing City can only contain letters, spaces, and dashes.

State

Zip *

The Mailing Zip must be five (5) numbers.

Home Phone

Your Home Phone must be ten (10) numbers and cannot contain special characters.

Mobile Phone

Your Mobile Phone must be ten (10) numbers and cannot contain special characters.

May we text you in case of an emergency, such as a campus closure, and with other important information? Standard text messaging rates apply.

Yes No

Are you a United States citizen? *

Yes No

Are you a California resident? *

Yes No

Which of the following, if any, are on active U.S. Military Service? (Check All that Apply) *

Self Parent/Guardian Spouse Not applicable

Voter Registration Information

As a US citizen and California resident, you may be eligible to register to vote. If you have recently moved, you may need to re-register.

Are you currently enrolled at another educational institution? *

Have you earned any of the following items? (Check All that Apply)

High School Diploma or Equivalent Associate Degree Bachelor Degree or higher

I understand the college may award me a degree or certificate upon completion of the required courses and all other criteria for earning the degree or certificate. If you do not wish to have such degrees and certificates issued to you, please visit the Admissions and Records Office to complete a Degree/Certificate Waiver Form.

We collect some other information about you that can help us with identifying people for programs, scholarships and state reporting.

What is your ethnicity?

Hispanic or Latino Not Hispanic or Latino

What is your race? (Check All that Apply)

Do you currently receive any type of assistance listed below? (Check All that Apply)

Food Stamps
Foster Care
General Assistance

HUD Section 8 Housing Assist
Medi-Cal / Medicaid
Supplemental Security Income

Temp Assist to Needy Families
Other economic / public assist

Your military status:

Active Duty
Veteran

Member of the Active Reserve
Member of the National Guard

Your parent/guardian's military status:

Active Duty
Veteran

Member of the Active Reserve
Member of the National Guard

Please indicate the education levels of the parents and/or guardians who raised you.

Parent/Guardian 1:

Parent/Guardian 2:

Are you a displaced homemaker?

Yes No

Are you a single parent?

Yes No

Are you or your parents migrant workers?

Yes No

Were you in foster care at any time after turning age 13?

Yes No

What is your primary language?

English Spanish
Other

Do you have a child or children under the age of 18 who will receive more than half of their support from you?

Yes No

Are you interested in participating in an intercollegiate sport?

Yes No

4 Digit Number (used in your email address) *

This email address is important! You will use it as your username to sign into campus computers, register for classes and it's the email your instructors will use to communicate with you.

<first>.<last>XXXX@email.bakersfieldcollege.edu

Must be 8-20 characters long.

Must contain letters (case-sensitive) and numbers.

Must not contain special characters e.g. @, space, -, /, !

Must not contain a character sequence e.g. 1234 or abcd.

Must not contain a sequence of same characters e.g. 5555.

Password *

Confirm Password *

The passwords you entered do not match. Please try again.

If you forget your password, we'll ask you your security question below and/or email an alternate recovery email address.

Security Question *

Security Answer * (cannot be the same as your password)

Your Security Answer must be different from your Password.

Your Security Answer must be at least two (2) characters long.

Password Recovery Email Address (we will only use this email to reset the password you selected above)

You must enter a valid Email Address.

As authorized by Section 76060, AB 1504 establishes a fee to support the operations of the local and the statewide community college student organization, recognized by the Board of Governors of the California Community Colleges, with effective student representation and participation in state-level community college shared governance and with governmental affairs representatives to advocate before the Legislature and other state and local governmental entities.

I want to be represented!

Yes No

The Family Educational Rights and Privacy Act (FERPA) gives you the right to ask us not to share your directory information . If you allow us to share this information, it will not be shared with telemarketers, advertisers or other private parties. This information will only be shared with other educational institutions, the military and other organizations with a legitimate need for this information.

If you do not authorize us to share your directory information, we will not be able to publish your name on the honor roll, acknowledge your participation in athletic teams or confirm your attendance here without your prior written approval.

Do you authorize us to release your directory information?

Yes No

Before submitting, please verify that all the information you have provided is complete and correct. No changes may be made once the application is submitted.

California state law allows you to submit your application and residency information electronically without a manual signature. Your completion of this page will provide the necessary verification for electronic submission. The security and privacy of the information in your application are protected as described in the District Privacy Policy.

By checking below, I declare that:

All of the information in this application pertains to me.
Under the penalty of perjury, the statements and information submitted in this application are true and correct.
I understand that falsification, withholding pertinent data, or failure to report changes in residency may result in District action.
I agree to abide by the requirements of the Kern Community College District's Computing and Network Use policy and understand that any violation of this policy may range from a warning, to restriction of use, to disciplary action, and/or legal action.

Where Are You Applying?

The Basics

Where Should We Contact You?

Mailing Address

Residency

Your Educational Experience and Goals

A Bit More About You

Your College Account

Account Recovery

Student Rep Fee Notice

Privacy Information

Verification