Start your Kenyon-LCCC Application

Please complete this form to indicate your interest in joining the Kenyon-LCCC transfer partnership.

* denotes a required field.

Biographical Information

First Name*

Preferred Name

Middle Name

Last Name*

Suffix

Birthdate*

Sex*

Gender Identity

If you choose, please share your gender identification.

Contact Information

Email*

Cell Phone Number*

May we text you?*

Yes

Permanent Address*

Country

Street

City

Region

Postal Code

Mailing Address*

Same as Permanent Address*

Country

Street

City

Region

Postal Code

School Information

When did you start at LCCC?*

Name of the High School you graduated from.*

High School
CEEB code*

High School
Start Date*

High School
Graduation Date*

Did you attend any other high schools?*

Did you take courses for college credit during high school?*

Name of the High School*

High School
CEEB code*

High School
Start Date*

High School
Leave Date*

Name of the High School*

High School
CEEB code*

High School
Start Date*

High School
Leave Date*

Name of the High School*

High School
CEEB code*

High School
Start Date*

High School
Leave Date*

Academic Information

When do plan on starting at Kenyon?*

Which program are you interested in?*

Additional academic interest

Affirmation

I allow employees at Kenyon to contact my current and former schools that I have attended for necessary materials related to my application. I also understand that employees at Kenyon may confidentially contact my current and former schools should they have questions about the information submitted on my behalf. I also understand that employees at Kenyon may confidentially contact my current and former schools should they have questions about the information submitted on my behalf.

I affirm