IVCC Admission Application

Potential Nursing, Dental, or Therapeutic Massage Students: In addition to completing this application, there are additional steps to apply to these programs. Please visit the Limited Admissions web page for information on the additional requirements.

Students under the age of 16 who wish to enroll in any courses must first petition the Vice President for Student Services. Information, including the appropriate forms, can be obtained by calling (815) 224-0361.

The Children's Online Privacy Protection Act (COPPA) is a law created to protect the privacy of children under 13. Applicants under 13 must obtain parental consent before applying online to IVCC. Please contact (815) 224-0437 for more information.

Note: Failure to fill in required fields will mean that your application can not be processed. You do not need to fill out another application if you have applied within the last 5 years.

Social Security Number (no dashes)
(If you don't know your SSN, please leave field blank.)

*Date of Birth

Legal Name
*Last *First Middle (full) Former Last Name Gender Address
*Postal Street Address or P.O. Box *City *State *Zip Code *County *Country
Phone and Email
Cell (no dashes)
Entering your cell phone number will ensure that you receive emergency text alerts (school closings, etc.) Home (no dashes) Work (no dashes) Email *Person to contact in case of emergency
*Name
*Phone (no dashes) Did either of your parents/grandparents attend college?
Are you a veteran of the Unites States Armed Forces?
If yes, please provide a date of discharge

Are you a single parent with dependent children/child?
(Dependent child must reside with you or you have full or joint custody. Women who are now pregnant and single should answer “yes”.)
Are you a displaced homemaker?
(Someone who has never worked outside the home, depending on someone else for their income. That source of income has disappeared and you must now come back to school to receive the training and skills necessary to obtain a high paying, high demand job in the workplace.)

Are you Hispanic or Latino?
Are you from one of the following racial groups? Select all that apply.
American Indian or Alaskan Native Asian Black or African American Native Hawaiian or other Pacific Islander White Choose not to respond
Primary Language
Native Language (if other than English)
Are you a U.S. citizen?

*Term applying for and enrollment status
(full-time = 12 or more credits | part-time = 11 or fewer credits)
*Admission Status
*Intended Academic Program
Transfer Non-Transfer

*Choose a Transfer Option
AA - Associate in Arts AES - Associate in Engineering Science AS - Associate in Science Intended academic major

*Choose a Non-Transfer Option
Associate in Applied Science (AAS) Certificate

*Choose a Certificate

Highest Education Earned
Finished GED
High School attending or attended
High School Graduation Year
Other Colleges Attended (if applicable)
*Education Goals

By submitting this form I understand that if I withhold or give false information on this application it may make me ineligible for admission to the college or subject me to dismissal. I further certify that the above statements are complete and correct. Illinois Valley Community College does not discriminate on the basis of age, religion, national origin, color, gender, mental or physical disability in admission to or its employment policies.

During peak periods response time may vary for your application to be verified and processed.

Please leave blank

Please click submit only once.