MyCE - Account & Registration Request

Thank you for choosing South Louisiana Community College. Please provide the information below to get your college application started TODAY! Gathering this information allows us to better serve you.

This information will be included in your SLCC student record.

First Name*

Last Name*

Middle Name or Initial

Suffix

High School*

Career Center

Are you a US Citizen?*

Social Security Number*

Ex: 123-34-5678

Anticipated High School Graduation Month/Year*

Personal Email*

Please use a personal email address so you can receive communication from us. Many high school email accounts do not accept mail from outside of your high school.

Confirm Email*

Password*

Please choose a strong password, with min. 8 characters, at least 1 digit and 1 uppercase letter

Retype Password*

Have you lived in Louisiana for the last 365 days?*

Home Address Line 1*

Address Line 2

City*

State*

Zip Code*

Date of Birth*

Enter date as mm/dd/yyyy

Gender*

Cell Phone Number (10-digit)

10 digits (i.e. 5551231234)

By checking box, I opt-in to receive text message notifications. Standard message and data rates apply.

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent Email*

Parent Phone*

Emergency Contact Information

Full Name*

Relationship to Applicant*

Emergency Cell Phone Number (10-digit)*

10 digits (i.e. 5551231234)

Supplemental Information

What is the highest level of education that your parent/guardian has completed?

Are you of Hispanic or Latino descent?

Regardless of your answer above, please select one or more race(s)/ethnicities that you identify with:

American Indian/Alaska Native

Asian

Black/African American

Native Hawaiian/Other Pacific Islander

White

Louisiana Law (R.S.17.170) requires all students to either (1) provide proof of immunization for measles, mumps, rubella, diphtheria, tetanus, and meningitis, according to the guidelines of the Louisiana Health Department; or (2) sign a waiver indicating they refuse immunizations.

Immunization Choice*

Please review your application carefully and check here to indicate that you entered your personal email address correctly. Failure to check and respond to your email may impact your application and registration status. Verify that you typed your name, address, and birthdate correctly. This information will be used to create a PERMANENT college transcript and must be accurate.*

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