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Section A - Personal Data
MM/DD/YYYY
Enter your street address, including your apartment or unit number if applicable.
Section B - Ethnicity This data is required for state and federal statistical reporting purposes only. There are certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, students are invited to voluntarily self identify their race or ethnicity. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations. When reported, data will be aggregated and will not identify any specific individual. This information is required but in no way will be used to evaluate your application.
Section C - Military
Section D - Residency
If you have lived in Texas for the past 12 months, please skip this question.
Section E - Enrollment Waiting List Available

9/2 to 12/16/2026  
(Class full. No seats available.)
Wednesdays, 6 – 7:30 p.m.

9/1 – 12/15/2026 (Class full. No seats available.)
Tuesdays, 6 – 7:30 p.m.

9/3 – 12/17/2026 (Class full. No seats available.)
Thursdays, 6:30 – 8 p.m.  
 
Section F - Consent and Agreements The information I have provided is complete and correct to the best of my knowledge. If my application is accepted, I agree to abide by the policies, rules and regulations at any school to which I am admitted. I authorize the College to verify the information I have provided. I further understand that the information submitted herein will be relied upon by the officials of the College in determining my admission and residency status for tuition purposes and that the submission of false information is grounds for rejection of my application, withdrawal of acceptance, cancellation of enrollment, and/or disciplinary action.
Houston City College considers name, address, telephone, date of birth, degrees earned and dates, major field of study, dates of attendance, enrollment status, student classification and name of most recent previous institution attended, number of hours complete and in progress, directory information. This is done in compliance with the Texas Open Records Law.
MM/DD/YYYY
With few exceptions, state law gives you the right to request, receive and correct information about yourself collected on this form.

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