Request Information about MCC

Complete the form below to request information about Mott Community College (MCC).
Fields with a red asterisk (*) are required.
We will respond to your inquiry via email as soon as possible.

~ Note: this form is NOT the application for admission. ~

Your Personal Information

Legal First Name

Middle Name

Legal Last Name

Suffix

Preferred Name
(If different than your Legal First Name.)

Date of Birth *
MM/DD/YYYY

Your Contact Information

Enter your personal email address below; do NOT use a High School or College email address.

Email Address *

Confirm Email Address *

Enter your phone number(s) below using the following formatting:

US, Canada, Bermuda, & Caribbean: XXX-XXX-XXXX
All others: +XX XX XXX XXXX

Mobile/Cell Phone

Would you like to allow Mott to send you text/SMS updates & notifications?Do Not AllowAllow

Home Phone (If different than Mobile/Cell Phone.)

What is your preferred method of contact?

Your Address

Is your address OUTSIDE of the U.S. or Canada? *

YesNo

Street Address (Line 1) *

Street Address (Line 2) (Optional)

City

State/Province *

ZIP/Postal Code

Country

Your High School Information

High School Graduation Status *

High School Information Instructions *

If you most recently attended High School in the state of Michigan, enter the name or city of your most recently attended High School (full or partial, at least 3 characters) and select your Michigan High School from the list.

If the search does not find your Michigan High School, enter Other Michigan High Schools and select that option from the list.
- If you most recently attended Home School in the state of Michigan, please enter Michigan Home Schooled and select that option from the list.
- If you most recently attended a GED Testing Center, please enter GED Testing Ctr and select that option from the list.

If you most recently attended High School outside of the state of Michigan, please enter Out of State High School and select that option from the list.

If you most recently attended Home School outside of the state of Michigan, please enter Unlisted Home School and select that option from the list.

If you most recently attended High School (Secondary School) outside of the United States, please enter Out of Country High School and select that option from the list.

High School 1

* When you begin entering your school name in the School Name or City (full or partial) field below, scroll ↓ DOWN ↓ to the Search Results to look for your school.

* If the search does not find your Michigan High School, enter Other Michigan High Schools and select that option from the list.

School Name or City (full or partial) Country

SCHOOL NAME, CITY & STATE *

Enter the full, correct name of your High School.
Enter the City and State of your High School.

Have you graduated OR will you graduate from High School in the future?

Additional Information

How did you hear about Mott Community College?

Have you applied to the Michigan Reconnect program? *
To learn about the Michigan Reconnect program, click HERE.

YesNo

What information would you like about Mott?

The semester I would like to begin my studies is:

I would like more information about: *
For any topics not listed, select Other.

My academic program of interest is: *
Not sure? Check out our academic programs HERE.

"Other" / Question(s) / Additional Information:
If you selected Other, you have a specific question(s), or you would like to provide us with more detail about your inquiry, please enter it here: