• Ashland Community & Technical College
    Program Application

    College Drive Campus
    Room 217 or 218 606.326.2074
    Technology Drive Campus
    Room 157A 606.326.2075

  • Student Support Services is a federal program funded through the U.S. Department of Education. Acceptance into the program is contingent upon meeting eligibility criteria and space availability. Please answer all questions completely. If a question does not apply to you, complete the question by marking “N/A”. All information you supply will be held in strict confidence.

    This application cannot be considered if all information is not included.

    • PERSONAL INFORMATION 
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    • RACE/ETHNICITY 

    • DISABILITY STATUS 

    • If you are not currently working with the offices mentioned above, you may be required to submit written documentation by a qualified professional, physician, or state agency to verify your elegibility.

    • EDUCATIONAL INFORMATION 
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    • FIRST GENERATION 

    • What is the highest level of education COMPLETED by the parent/guardian(s) who raised you?

    • Clear
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    • SUBMIT 
    • Should be Empty: