College and Career Readiness Admission Application

Student Information
Name(Required)
First Middle Last
Email(Required)
Enter Email Confirm Email
Phone(Required)
Campus(Required)
Select the campus where you will attend.
- Tarboro
- Rocky Mount
Age(Required)
- 16
- 17
- 18+
Student Contract
As a student at Edgecombe Community College (ECC) and the College and Career Readiness (CCR) Program, you are expected to conduct yourself as a college student. You must follow all the rules and regulations of the college including those for the CCR program.

Any student who breaks the rules or who creates problems by his/her behavior will be suspended. Students will receive one (1) warning. The second offense will result in immediate suspension. Suspended students who want to return must first get permission from the coordinator. Suspended students who are allowed to return and receive any violations will be suspended permanently.
READ THE FOLLOWING CAREFULLY
1. Warning: You are-expected to be in an ECC class or learning lab while on campus; loitering is unacceptable. You may utilize your breaks, but must return to class on time. While here, your time is limited to the student lounge in Building A and Building C where your classes are held. If you are found in other buildings, you can be charged for loitering. You can be immediately suspended.
2. Student ID Cards: You must wear an updated Edgecombe Community college ID in plain sight and at all times while on campus. You must get it within 5 days of registering. Your first ID is free. (Replacement IDs are $5)
3. Parking Stickers: If you drive to campus, you must have an ECC parking sticker displayed on your vehicle. Parking stickers are free and may be picked up at the reception area or student services. Do not park in the faculty parking lots; your vehicle will be towed at your expense.
4. Smoking: This is a smoke free campus. Because some staff and students have not completely stopped, smoking can be done at the rear of the Building C in the picnic area.
5. Clothing and Unacceptable Behaviors: Students must wear clothes that adequately cover the body. The following items are not permitted the classroom lab:
  1. Midriff shirts, low-rise jeans with buttocks exposed, or tops with cleavage exposed. Proper footwear (shoes, sandals, etc.) must be worn at all times. You will be asked to leave the campus if you are dressed inappropriately.
  2. Excessive walking, cursing/profanity, excessive talking, or disrespectful remarks and behavior, will not be allowed and are grounds for suspension.
6. Cell Phone: Cell phones must be kept off while in the lab or classroom. Please leave lab or classroom to talk on your phone.
7. Eating and drinking are not allowed in the classroom or computer lab.
8. Other:
  1. Students should not gather in hallways, on sidewalks, in doorways or any place that blocks other people from being able to walk.
  2. Sexual, verbal, or physical harassment is not allowed.
  3. Possession of guns, knives, Taser guns, or weapons of any kind on campus will result in immediate and permanent suspension.
  4. Gang activity or gang affiliation is not tolerated. Any validation of gang related activities or behavior will result in permanent suspension and may result in legal action.
  5. Alcohol, drugs, or narcotics are not allowed on campus. Any student thought to be under the influence of drugs o( alcohol while on campus will immediately be suspended.
  6. Students are not to bring children on campus, to the library, to classes, or to the learning lab. Children are not to be left alone in parked cars on campus.
9. Students must follow all the rules of the college and those set by the College and Career readiness program.
Student Contract
You must read and agree to these terms.(Required)
1. I have read and understand ECC's rules and regulations.

2. I agree to abide by the rules and regulations of the College and Career Readiness program.

3. The "15-minute Rule" has been thoroughly explained to me, and I understand how it applies to me as a College and Career Readiness student.

4. I understand that I may be suspended if I do not follow these rules and regulations.

5. I promise to attend the lab, classes, and/or work online on a regular basis.
I AGREE.

Attendance Reason
Please select all that apply if your attendance in the College and Career Readiness program is required for an agency or other specific reason.

IMPORTANT: If you are attending classes due to requirements of any organization or government program, you must attend based on the agency's hourly requirements.
Is your attendance in the College and Career Readiness program required for an agency or other specific reason?(Required)
Ex: court mandate, probation, parole, public housing, etc.
- Yes
- No
Agency
- Probation or Parole/Court Mandate
- Department of Social Services
- Social Security Administration
- Parent(s)/Legal Guardian(s)
- Other Organization
Name of Other Organization
Confidential Information Release Agreement
I am a student in the College and Career Readiness program and hereby give permission to Edgecombe Community College staff to release confidential information related to my progress and attendance to the agencies selected above.
I agree.

Edgecombe Community College

Academic Programs College and Career Readiness

College and Career Readiness Admission Application

College and Career Readiness Admission Application

College and Career Readiness Student Intake

Step 1 of 3

Student Information

Student Contract

READ THE FOLLOWING CAREFULLY

Student Contract

Attendance Reason

Student Educational and Career Plan

IMPORTANT: Your registration will not be processed until you complete and submit the Student Data Form.

➡ Please download the Student Data Form, complete all fields, save, and select "Choose File" to upload below.