This page contains form elements to complete.
Please enter your full legal name and date of birth:
This information is used to comply with state and federal law pertaining to residency, guardianship, admission of minors to college, and protection of minors in online transaction environments, as well as to differentiate between persons having the same name. This information will not be used in making admissions decisions except as permitted by law.
An email address is required for important messages about your admission and registration. Please enter an email address that you check regularly.
Check this box if you do not have a personal email address. CCCApply will give you a free email address that you can check at CCCApply.org.
Username and Password
For logging on, choose a username.
Use only characters a-z, 0-9, (.),(-), (_). E-mail address is allowed.
To check the availability of your username, scroll down and click the 'Next' button at the bottom of this screen.
Enter your password twice to make sure you typed it correctly.
Please create a new password following these requirements:
- 8-12 characters
- Must contain both letters AND numbers (for example: Abc123456)
- No spaces or special characters
- It cannot match your username
Be sure to record your username and password for later use. Please do not share your account with any other applicants, even family members. All applicants must have their own individual accounts.
If you forget your username or password, you can get log-on help by responding correctly to your personal security question. Please select the security question you would like to be asked, and enter your answer to that question.