IVCC Admission Application

If you are interested in nursing, medical assisting, or dental assisting, please visit the Limited Admissions webpage.
International students, please visit the International Admissions webpage.
We comply with the Children's Online Privacy Protection Act (COPPA).
Students under the age of 16 must petition to enroll in classes. Call (815) 224-0361 for details.

Legal Name
*Last *First Middle (full) Former Last Name Gender *Date of Birth

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

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 Confirm Email What is your preferred method of contact (email, phone or text)?
*Person to contact in case of emergency
*Name
*Phone (no dashes)

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?
Did either of your parents attend college?
What is your current employment status?
Are you a veteran of the Unites States Armed Forces?
Is/are your parent(s) a member of the United States Armed Forces and on Active Duty
"Armed Forces" is defined as being a member of the Army, Navy, Air Force, Marine Corps, or Coast Guard
This term does not include National Guard duty.
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 an out-of-workforce individual?

Someone who is unemployed or underemployed and is experiencing difficulty in obtaining or upgrading employment;
Someone who has never worked outside the home, depending on someone else for their income;
Someone who has worked without pay to care for a home and family and for that reason has diminished marketable skills.

Were/are you a youth in the Foster Care System?
Do you meet the following criteria to be considered homeless?
Homeless means individuals who lack a fixed, regular, and adequate nighttime residence.

*Term applying for and enrollment status (full-time = 12 or more credits | part-time = 11 or fewer credits)

*Admission Status
*Education Goals
*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)

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.

Your application will be verified and processed within 10 business days.

If you click submit and you are not re-directed to a confirmation page, please refresh your browser. If the problem persists, please give us a call at 815-224-0439