This website uses scripting to enhance your browsing experience.
Enable JavaScript
in your browser and then reload this website.
This website uses resources that are being blocked by your network. Contact your network administrator for more information.
Jefferson Community College Website
Skip to main content
Opportunity Program Interest Form
Loading...
Contact Information
First Name
Preferred Name
Last Name
Email Address
Cell Phone Number
Birthdate
Birthdate
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
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
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
JCC Student ID (if you are unsure of your JCC ID, please call 315.786.2437. This is also listed on your JCC Acceptance Letter)
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
Gender Identity
Male
Female
X
Transgender Male
Transgender Female
Gender Non-Conforming/Non-Binary
Not sure/Questioning
Other
Are you a New York State Resident? (Must have lived in New York State for 1 year)
Yes
No
Military Affiliation
Active Duty
Active Duty Dependent
Active Duty Spouse
Veteran
Veteran Dependent
Veteran Spouse
US Reserves / National Guard
None
What is your Program of Study (what degree are you seeking)?
Undecided / Unsure
Accounting A.A.S.
Accounting A.S.
Accounting Certificate
Agri-Business A.A.S.
Allied Health & Biological Sciences Concentration, Natural Sciences A.S. Liberal Arts & Sciences
Business Administration A.A.S.
Business Administration A.S.
Business Administration A.S./B.S. (joint w/ SUNY Potsdam)
Chemical Dependency A.A.S.
Chemical Dependency Certificate
Childhood Education A.A., Liberal Arts & Sciences
Childhood Education A.A./B.A., Liberal Arts & Sciences (joint w/ SUNY Potsdam)
Computer Information Systems A.S.
Computer Information Technology A.A.S.
Computer Science A.S.
Creative Writing Concentration, Humanities & Social Sciences A.A., Liberal Arts & Sciences
Criminal Justice A.S.
Criminal Justice Certificate
Culinary Arts Concentration, Hospitality & Tourism A.A.S.
Early Childhood A.A.S.
Early Childhood A.S.
Early Childhood Certificate
Engineering Science A.S.
Fire Protection Technology A.A.S.
Fire Protection Technology Certificate
Health Care Management
Homeland Security A.S.
Hospitality & Tourism Certificate
Hotel/Restaurant Management Concentration, Hospitality & Tourism A.A.S.
Human Services A.S.
Humanities & Social Sciences A.A., Liberal Arts & Sciences
Individual Studies A.A.
Individual Studies A.A.S.
Individual Studies A.S.
Literature Concentration, Humanities & Social Sciences A.A., Liberal Arts & Sciences
Mathematics A.S.
Nursing A.A.S.
Office Studies Certificate
Office Technologies - Administrative Assistant A.A.S.
Office Technologies - Medical A.A.S.
Paralegal A.A.S.
Physical Education A.S.
Physical Science Concentration, Natural Sciences A.S., Liberal Arts & Sciences
Psychology Concentration, Humanities & Social Sciences A.A., Liberal Arts & Sciences
Sports Management A.S.
Teaching Assistant Certificate
Winery Management & Marketing Certificate
Winery Management & Marketing Concentration, Hospitality & Tourism A.A.S.
Zoo Technology A.A.S.
Other / Not Listed
Specify your concentration (if applicable):
Please identify your occupational goal
Submit
slide
Apply
Schedule Visit
Programs
