Enrollment Form

Enrollment Form

Do you need help registering for classes and would like assistance from one of our advisors? At Ellsworth Community College, we prioritize a seamless enrollment process for our students.

If you fill out this short enrollment form, one of our dedicated advisors will promptly contact you to help with registration and assist you with your educational goals.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

High School Graduation Year(Required)

Have you received college credit from any other college/university?(Required)

Yes

No

What type of classes would you like to be scheduled for?(Required)

Face-to-Face

Online

Both

What is your area of study/academic major?(Required)

hands-on-a-computer

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