John A. Logan College Dual Credit/Early College Application
Thank you for your interest in the Dual Credit/Early College program at John A. Logan College. Application questions with an asterisk are required to submit the application. If you have questions, please contact the College Readiness Office at 618/985-2828, extension 8312.
*Notes for form administrators:
File Extensions - Before files can be processed into J1, allowed file extensions must be made available to the Admissions Candidacy Essay Attachment Use Code in the Make File Extension Available for Attachment window.
Attachment Mapping - Before the form will successfully process into J1, mapping will need to be updated for each of the Candidacy Attachment rows to ensure that the ATTACHMENT_CDE values are valid attachment types and are associated with the AD_CANDCY Use Code in the Attachment Type Definition window in J1 Desktop.
Relationship Mapping - Before the form will successfully process into J1, mapping will need to be updated for each of the Relationship Information rows to ensure that the REL_CDE values are valid relationship codes defined in the Relationship Definition window in J1 Desktop.
Waiver Codes - The waiver code question has been associated with the Waiver Codes data source. The example is a hard coded data source. In a real-world example, it would be best to store these waiver codes in a custom table.
Payment Profile - The payment profile for this form has been associated with the submit button. The transaction code should be updated to a valid AR_CDE defined in the J1 Desktop Receipt Code Control window.
Mapping Information - This form contains default mappings for questions existing on the form. Some client-specific values, like Candidacy Stage and Type, may be desired and can be added by modifying the mapping and entering a custom value for the specified column.
For application purposes, students must use their legal name. Students may also provide a preferred name that can be used so long as it follows guidelines established by the College.
Preferred First Name
While a social security number is not required for admission to the John A. Logan College Dual Credit/Dual Enrollment Program, it is required for tax purposes (1098T) and student reporting.
Ethnicity and Race Information:
Are you Hispanic or Latino?
Select one or more of the following races:
This information is required to receive institutional Perkins funding.
Please select the correct statement regarding your parental status:
Are you currently homeless? (defined as lacking fixed, regular, or adequate nighttime residency)
Are you a youth who is currently in, or has aged out of, the foster care system?
Are you a dependent with a parent who is an active duty member of the Armed Forces?
Address Line 1
Address Line 2
Cell Phone Number
Confirm Email Address
Emergency Contact: First Name
Emergency Contact: Last Name
Emergency Contact: Relationship to Student
Emergency Contact: Cell Phone
Name of High School
What year will you graduate?
Please read and check the following statements to indicate your consent:
I understand that withholding information requested on this document or giving false information may make me ineligible for the Dual Credit/Early College program at the College. I certify that all information that I have provided is complete and accurate to the best of my knowledge, and I agree to observe all the rules and regulations of the institution. With this in mind, I certify that the above statements are correct and complete.
Your initials certifying confirmation
Citizenship Status (Auto populated)
Ethnicity Number (Auto Populated)