Application for Admission

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Please respond to each of the following questions with thoughtful consideration of your personal lifestyle before answering.  Answer each question honestly to assist us in your placement into our program.  There is no incorrect answer, but they do assist us in providing an excellent learning environment for your future success.

Identifying Information

Official Name as it appears on your License.

Official Name as it appears on your License

IPEDS Survey Information

This information is collected for use in reporting annual statistics for the IPEDS (The Integrated Post-secondary Education Data System) Survey. This survey is conducted by the US Department of Education to provide demographic information for future students and statistical purposes only. We do not discriminate on the basis of race, religion, national origin, color, sex, age, veteran status, or disability. It is our intention that all qualified applications be given equal opportunity and that decisions are based on performance related factors only.

Check all that apply.

Contact Information

Student Address

Personal Information

Emergency Contact Information

Emergency Contact Address

Dependency Status

Family Data


Educational Data
Secondary School

Standardized Exams



Post-Secondary School

You will be asked to provide a transcript from every school attended.

Financial Aid Eligibility

Logistical Information

Employment Information


Mid City College (MCC) is a proprietary technical college licensed by the State of Louisiana and accredited nationally by the Commission of the Council on Occupational Education.  MCC is approved by the U.S. Department of Education to provide students with the ability to apply for financial aid through federal PELL and TOPS grants and federal subsidized and unsubsidized loan programs.  MCC is also approved to provide funding through Veteran's Affairs.

Signature and Certification

Please type in your full name as it appears on your state license. This will serve as an Electronic Signature for your Application.