Fort Hays Tech | North Central College Application

Application Form

This application is only for the short-term programs of CDL, CNA and CMA. If you are trying to apply for a different program, please go to the application page at https://fhtechnc.edu/admissions/how-apply. Applicants will be notified by email of their admission to the College. The email will also provide additional requirements necessary to gain acceptance into their selected program. If you have any questions about completing this application, contact admissions@fhtechnc.edu.
Personal Info
Name*

First NameMiddle NameLast NameSuffix
Date of Birth*

MonthDayYear
Date
Maiden Name
Social Security Number*
We use your SSN to determine if you have any scholarships or other financial aid that need to be applied. Once you are accepted, you will be issued a student ID number which will be used for future communication. Your SSN will NOT be your Student ID.

Contact Info
Email*

Confirmation Emailexample@example.com
Additional/Parent Email Address

Confirmation Emailexample@example.com
Phone Type*
Phone Number*
Please enter a valid phone number.
Additional Phone Type
Check this box below to agree to receive text messages regarding your application and enrollment at Fort Hays Tech | North Central. Message and data rates may apply. Message frequency varies. Our Terms and Conditions and Privacy Policy can be viewed here: https://fhtechnc.edu/terms-and-conditions-text-messages
Can we text you?*

YesNo

Race & Ethnicity Info
Are you of Hispanic / Latino ethnicity or descent?*

YesNo
Select one or more races in which you identify yourself in*

American Indian OR Alaskan NativeAsianBlack / African AmericanHispanic / LatinoNative Hawaiian OR Pacific IslanderWhite

Additional Education

You are required to list all colleges previously attended and, if currently enrolled, the college you are currently attending. Request each institution to send official transcripts to the Registrar, Fort Hays Tech | North Central. If currently enrolled, a final transcript must also be mailed to the Registrar’s Office at the conclusion of the semester. List all colleges/universities attended even if not credit was earned.
Additional Education #1
Institution Name #1 (N/A if None)
City #1 (N/A if None)
State #1
Additional Education #2
Institution Name #2 (N/A if None)
City #2 (N/A if None)
State #2
Additional Education #3
Institution Name #3 (N/A if None)
City #3 (N/A if None)
State #3
Are you a current Fort Hays Tech | North Central Student?*

YesNo
Have you been an NCK Tech/Fort Hays Tech | North Central student in the past five years?*

YesNo
Have you previously taken a class at Fort Hays Tech | North Central (Hays or Beloit Campus), Fort Hays State University, OR Fort Hays Tech | Northwest (Goodland, KS)?*

YesNo

Application Form