Welcome! When applying for admission, please complete an application (providing all requested information). Students will not be eligible to register for classes until they have completed the admissions process and are admitted to the college. Summer classes are ONLY offered online and we do not admit students to programs during the summer session. Applicants will be notified in an email of their acceptance into the College. If you have any questions about completing this application, contact admissionsoffice@fhtechnc.edu.

First NameRequired

Middle NameRequired

Last NameRequired

Maiden NameRequired

SuffixRequired -- choose one -- II III IV Jr. Sr. V VI VII

Email AddressRequired

Social Security Number

Confirm Social Security Number

Date of BirthRequired

GenderRequired -- choose one -- Female Male Prefer not to answer

Are you Hispanic or Latino?Required -- choose one -- NO YES

Citizenship StatusRequired -- choose one -- Non-Resident Alien Resident Alien US Citizen

CountryRequired -- choose one -- UNITED STATES CANADA AFGHANISTAN ALBANIA ALGERIA ANDORRA ANGOLA ANTIGUA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA BOTSWANA BRAZIL BRUNEI BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CAPE VERDE CENTRAL AFRICAN REPUBLIC CHAD CHILE COLOMBIA COMOROS CONGO COSTA RICA COTE D"LVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR ENGLAND EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FIJI FINLAND FRANCE FRENCH ANTILLES FRENCH GUIANA GABON GAMBIA GEORGIA GERMANY GHANA GREECE GRENADA GUADELOUPE GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KUWAIT KYRGSTAN LAOS LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MEXICO MICRONESIA MOLDOVA MONACO MONGOLIA MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW ZEALAND NICARAGUA NIGER NIGERIA NORTH KOREA NORTHERN IRELAND NORWAY OMAN PAKISTAN PALAU PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES POLAND PORTUGAL QATAR REPUBLIC OF CHINA ROMANIA RUSSIA RWANDA SAN MARINO SAO TOME SAUDI ARABIA SCOTLAND SENEGAL SERBIA SEYCHELLES SIERRA LEON SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH KOREA SPAIN SRI LANKA ST. KITTS ST. LUCIA ST. NEVIS ST. VINCENT SUDAN SURINAME SWAZILAND SWEDEN SWITZERLAND SYRIA TAIWAN TAJIKSTAN TANZANIA THAILAND THE GRENADINES TOBAGO TOGO TONGA TRINIDAD TUNISIA TURKEY TURKMENISTAN TUVALU UAE UGANDA UKRAINE UNITED KINGDOM UPPER VOLTA URUGUAY UZBEKISTAN VANUATU VATICAN CITY VENEZUELA VIETNAM WALES WEST AFRICA West Indies WESTERN SAMOA YEMEN ZAMBIA ZIMBABWE

Street AddressRequired

Street 2Required

CityRequired

CountyRequired -- choose one -- ADAIR ADAMS ALAMOSA ALLEN ANDERSON ANDREW ANTELOPE ARAPAHOE ARCHULETA ARTHUR ATCHISON AUDRAIN BACA BANNER BARBER BARRY BARTON BATES BENT BENTON BLAINE BOLLINGER BOONE BOULDER BOURBON BOX BUTTE BOYD BROOMFIELD BROWN BUCHANAN BUFFALO BURT BUTLER CALDWELL CALLAWAY CAMDEN CAPE GIRARDEAU CARROLL CARTER CASS CEDAR CHAFFEE CHARITON CHASE CHAUTAUQUA CHEROKEE CHEYENNE CHRISTIAN CLARK CLAY CLEAR CREEK CLINTON CLOUD COFFEY COLE COLFAX COMANCHE CONEJOS COOPER COSTILLA COWLEY CRAWFORD CROWLEY CUMING CUSTER DADE DAKOTA DALLAS DAVIESS DAWES DAWSON DECATUR DEKALB DELTA DENT DENVER DEUEL DICKINSON DIXON DODGE DOLORES DONIPHAN DOUGLAS DUNDY DUNKLIN EAGLE EDWARDS EL PASO ELBERT ELK ELLIS ELLSWORTH FILLMORE FINNEY FORD FRANKLIN FREMONT FRONTIER FURNAS GAGE GARDEN GARFIELD GASCONADE GEARY GENTRY GILPIN GOSPER GOVE GRAHAM GRAND GRANT GRAY GREELEY GREENE GREENWOOD GRUNDY GUNNISON HALL HAMILTON HARLAN HARPER HARRISON HARVEY HASKELL HAYES HENRY HICKORY HINSDALE HITCHCOCK HODGEMAN HOLT HOOKER HOWARD HOWELL HUERFANO IRON JACKSON JASPER JEFFERSON JEWELL JOHNSON KEARNEY KEARNY KEITH KEYA PAHA KIMBALL KINGMAN KIOWA KIT CARSON KNOX LA PLATA LABETTE LACLEDE LAFAYETTE LAKE LANCASTER LANE LARIMER LAS ANIMAS LAWRENCE LEAVENWORTH LEWIS LINCOLN LINN LIVINGSTON LOGAN LOUP LYON MACON MADISON MARIES MARION MARSHALL MCDONALD MCPHERSON MEADE MERCER MERRICK MESA MIAMI MILLER MINERAL MISSISSIPPI MITCHELL MOFFAT MONITEAU MONROE MONTEZUMA MONTGOMERY MONTROSE MORGAN MORRILL MORRIS MORTON NANCE NEMAHA NEMAHA NEOSHO NESS NEW MADRID NEWTON NODAWAY NORTON NUCKOLLS OREGON OSAGE OSBORNE OTERO OTOE OTTAWA OURAY OZARK PARK PAWNEE PEMISCOT PERKINS PERRY PETTIS PHELPS PHILLIPS PIERCE PIKE PITKIN PLATTE POLK POTTAWATOMIE PRATT PROWERS PUEBLO PULASKI PUTNAM RALLS RANDOLPH RAWLINS RAY RED WILLOW RENO REPUBLIC REYNOLDS RICE RICHARDSON RILEY RIO BLANCO RIO GRANDE RIPLEY ROCK ROOKS ROUTT RUSH RUSSELL SAGUACHE SAINT CHARLES SAINT CLAIR SAINT FRANCOIS SAINT LOUIS SAINTE GENEVIEVE SALINE SAN JUAN SAN MIGUEL SARPY SAUNDERS SCHUYLER SCOTLAND SCOTT SCOTTS BLUFF SEDGWICK SEWARD SHANNON SHAWNEE SHELBY SHERIDAN SHERMAN SIOUX SMITH STAFFORD STANTON STEVENS STODDARD STONE SULLIVAN SUMMIT SUMNER TANEY TELLER TEXAS THAYER THOMAS THURSTON TREGO VALLEY VERNON WABAUNSEE WALLACE WARREN WASHINGTON WAYNE WEBSTER WELD WHEELER WICHITA WILSON WORTH WRIGHT WYANDOTTE YORK YUMA

StateRequired -- choose one -- ALABAMA ALASKA AMERICAN SAMOA ARIZONA ARKANSAS Armed Forces Americas Armed Forces Europe Armed Forces Pacific CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA GUAM HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING

Zip CodeRequired Zip Code Extension

ProvinceRequired

Mobile PhoneRequired Mobile Phone Area Code Mobile Phone Exchange Mobile Phone Number Mobile Phone Extension  Ext: 

International Mobile PhoneRequired International Mobile Phone Extension  Ext: 

Additional or Parent Mobile PhoneRequired Additional or Parent Mobile Phone Area Code Additional or Parent Mobile Phone Exchange Additional or Parent Mobile Phone Number Additional or Parent Mobile Phone Extension  Ext: 

Emergency Contact First NameRequired

Emergency Contact Last NameRequired

Emergency Contact Email AddressRequired

Emergency Contact Mobile Phone NumberRequired Emergency Contact Mobile Phone Number Area Code Emergency Contact Mobile Phone Number Exchange Emergency US Phone Number Emergency Contact Mobile Phone Number Extension  Ext: 

Emergency Contact RelationshipRequired -- choose one -- Aunt Father Guardian Mother Other Parent Sibling Spouse Uncle

Year of Graduation/GED AwardedRequired -- choose one -- 2030 2029 2028 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930

High School NameRequired

College NameRequired

College NameRequired

College NameRequired

Program of InterestRequired -- choose one -- Applied Technologies Undeclared

If your program of interest is Pre-Nursing, please choose your preference here and choose Applied Technologies under the Program of Interest field.Required -- choose one -- Pre-Nursing Pre-Respiratory Care

Enrollment PeriodRequired -- choose one -- Summer 2025

Are you a Veteran?Required -- choose one -- Chapter 1606 Chapter 1607 Chapter 30 Chapter 31 Chapter 33 Chapter 35 Non-Veteran Veteran

Prior Degree EarnedRequired -- choose one -- Associates Degree Bachelors Degree Certificate High School Masters Degree No Degree Earned Other

At which affiliate institution have you most recently completed a class? If you are currently enrolled at FH Tech | North Central, please choose that option.Required -- select one --FH Tech | North Central (Beloit or Hays) FH Tech | Northwest (Goodland) Fort Hays State University

Today's Date (mm/dd/yyyy)Required

Signature (Please type your full name)Required

Please list up to three colleges you have previously attended.

I confirm that I have reviewed all the information on this application form and have found it to be accurate. Additionally, I will provide Fort Hays Tech | North Central the documents required as a condition of admission and enrollment.Required -- select one --I Accept I Decline

If your county is not listed, please list the name of it here.Required

Are you a high school graduate?Required -- select one --Yes No

Which best describes the level of education attained by your parents?Required -- select one --Both parents have a high school diploma or less One or both parents have earned a bachelor’s degree or higher One or both parents have some college experience but neither have attained a bachelor’s degree