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This form is to be completed by a KC student who has sat out for one long semester (fall or spring) and wishes to return within a twelve month period. This form cannot be used for reclassification of residency or change of district status. Failure to enroll in the term indicated on the form will require the student to submit a new application for admission.
Your Name
(Required)
First
Last
Has your name changed since you last attended KC?
(Required)
No
Yes
Previous Names used at KC
KC ID Number
(Required)
Date of Birth
(Required)
MM slash DD slash YYYY
Which semester are you returning?
(Required)
Select semester
Spring 2025
Summer 2025
Fall 2025
What do you want to major in? (Select One)
(Required)
Accounting (AAS)
Accounting (Certificate)
Administrative Office Professional (AAS)
Administrative Office Professional (Advanced Certificate)
Administrative Office Professional (Basic Certificate)
Advertising/Graphic Design Technology (AAS)
Advertising/Graphic Design Technology (Certificate)
Agriculture (AS)
Architecture (AA)
Art (AA)
Athletic Training (AA)
Automotive Technology (AAS)
Automotive Technology (Certificate)
Barber (Certificate)
Biological Science (AS)
Business Administration (AA)
Business Management (AAS)
Business Management (Certificate)
Chemistry (AS)
CIT - Computer Support Specialist (AAS)
CIT - Help Desk Technician (Certificate)
CIT - Networking and Cybersecurity Analyst (AAS)
CIT - Software Development and Data Analytics (AAS)
CIT - Software Support (Certificate)
CIT - Software, Web, and Game Development (AAS)
Computer Information Systems (AA)
Computer Science (AA)
Corrosion Technology (AAS)
Corrosion Technology (Certificate)
Cosmetology - Esthetician Specialist (Certicate)
Cosmetology - Nail Technology (Certificate
Cosmetology - Operator (Certificate)
Criminal Justice (AAS)
Criminal Justice (AA)
Culinary Arts (AAS)
Culinary Arts (Certificate)
Culinary Arts - Management (Certificate)
Dance (AA)
Diesel Technology (AAS)
Diesel Technology (Certificate)
Drama/Theatre (AA)
Education (AA)
Education, EC-6, 4-8, EC-12 Special Education (AAT)
Emergency Medical Services Professions (AAS)
EMT - Paramedic (Certificate)
EMT (Certificate)
Engineering (AS)
English (AA)
Entrepreneurship (Certificate)
Fire Protection (AAS)
Forestry (AA)
Geology (AS)
Government (AA)
History (AA)
Homeland Security and Emergency Preparedness Leadership (AAS)
HVACR - Heating, Ventilation, Air Conditioning, & Refrigeration (AAS)
HVACR Technician (Certificate)
Industrial Maintenance - Entry Industrial Maintenance Technician (Certificate)
Industrial Maintenance Technician (Certificate)
Industrial Maintenance (AAS)
Instrumentation & Electrical Technology (AAS)
Instrumentation & Electrical Technology (Certificate)
Kinesiology (AA)
Kinesiology - Coaching (AA)
Kinesiology - Health & Wellness (AA)
Pre-Law (AA)
Legal Assisting/Paralegal (AAS)
Legal Assisting/Paralegal (Certificate)
Manufacturing - Machining (Certificate)
Manufacturing - Mechanical/Electrical (Certificate)
Manufacturing Technology (AAS)
Mathematics (AS)
Medical/Health Science (AS)
Music (AA)
Nursing (AA)
Nursing (LVN) - Pre-Admission (AA)
Nursing (RN) - Pre-Admission (AA)
Philosophy (AA)
Physical Therapist Assistant - Pre-Admission (AA)
Process Technology (AAS)
Process Technology - Petroleum Specialty (AAS)
Psychology (AA)
Radiologic Science - Pre-Admission (AA)
Religion (AA)
Social Work (AA)
Sociology (AA)
Speech (AA)
Substance Abuse Counseling (AAS)
Substance Abuse Counseling (Certificate)
Surgical Technology (AAS)
University Transfer - General Studies (AA)
University Transfer - General Studies (AS)
Welding (AAS)
Welding (Advanced Certificate)
Welding (Basic Certificate)
Personal Email Address
(Required)
Cell Phone
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ã…land Islands
Have you attended another college or university since your last attendance at KC?
(Required)
No
Yes
Please list all colleges and universities you have attended since your last attendance at KC.
Certification Statement
As a student, I seek readmission to Kilgore College and certify that there has not been more than a twelve month break in my attendance. I understand that any period of absence from KC may extend my original expected time of completion. I understand it would serve my interest to speak with a program director and/or other College administrators prior to making this academic transition. I acknowledge this form cannot be used for reclassification of residency or change of district status. By signing, I certify that all information stated above is true and accurate to the best of my knowledge.
Signature
(Required)
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Electric Power Technology
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Manufacturing Technician Certificate
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Risk Management Institute
Sterile Processing
TEAS Nursing Entrance Exam Review
Transportation Institute (CDL)
Workforce Contract Training
Classes Search
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Tutoring Labs
The Zone in Kilgore
Longview North Zone
Writing Studios
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Library
Instructional Student Support
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TRIO Fast Track & EOC Services
Career Services & Career Coaching
Dual Credit Students
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Intensive College Readiness Program
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Online Programs
Zero Textbook Cost (ZTC) Classes
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UT Tyler University Center Classes
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