Admissions Application | Allegany College of Maryland

Thank you for your interest in Allegany College of Maryland

Allegany College of Maryland has an open door admissions policy; however, some programs have specific admissions requirements. Our goal is to make your admission and registration process as simple as possible.

Non-Discrimination Statement: Allegany College of Maryland does not discriminate on the basis of age, ancestry/national origin, color, disability, gender identity/expression, marital status, race, religion, sex, or sexual orientation in matters affecting employment or in providing access to programs and activities and provides equal access to the Boy Scouts and other designated youth groups. For inquiries related to this policy, please contact: Dr. Renee Conner, Dean of Student and Legal Affairs; Title IX Coordinator; ADA/504 Coordinator; 12401 Willowbrook Road, Cumberland, MD 21502; College Center 12; 301-784-5206; rconner@allegany.edu; www.allegany.edu/title-ix; www.allegany.edu/ADA-504. Allegany College of Maryland is required to inform prospective and current students of important College policies including Non-Discrimination, Title IX, Child Abuse Mandated Reports, Clery Act, Heroin & Opioid, Drug and Alcohol Use, Academic Disabilities, FERPA, Accreditation, and Medical Disclosure Procedures. For full details on these key policies, please visit the Allegany College of Maryland website at allegany.edu/policy-mandates.

Allegany College of Maryland recognizes drug and alcohol abuse/addiction as a health risk; the dangers associated with heroin and opioids are gravely concerning to this institution. The college urges everyone to be informed and offers educational resources (including treatment information) at https://allegany.edu/drug-and-alcohol-information/index.html. All new, full time students are required by Maryland law to participate in heroin/opioid training. In an overdose emergency, call 911. If you have any questions or concerns or if you need help, contact the Campus Security/Special Police by email at rcuthbertson@allegany.edu or by phone at 301-784-5252 or the Office of Student & Legal Affairs by email at rconner@allegany.edu, or by phone at 301-784-5206. * Allegany College of Maryland prohibits the possession and use of drugs and alcohol on all college property and in all college-affiliated activities without the express permission of the College President.

Instructions

Fill out the following form completely. When complete, click the "Submit Application" button to send it to the Admissions Office at Allegany College of Maryland.

Personal Information

Section 1 of 6

Have you previously applied for admission to Allegany College of Maryland? *

YES NO

Social Security Number: Re-enter SS#:
If you are a Foreign Applicant or US Citizen who does not have a Social Security Number. Please contact our Office.

Citizenship Status: *

U. S. Citizen Other

Country Entry Date:

Visa or Alien Registration Number:

Immigration Status:

Citizenship Country:

Primary Language:

Legal First Name:* MI:

Legal Last Name:* Suffix:

Click if you have a Maiden Name or any other Last Name(s) you have used?

Date of birth:*

Gender: Female Male

Marital Status: (for Statistical Purposes Only)

Single Divorced Married Widowed Separated Domestic Partner

Personal Information

Section 2 of 6

Permanent Address:

Address*
                  Add another Address Line



City         *, *    Zip Code *

County: Country:

Phone:     Type:

Alternate Phone:     Type:

Local Address:
(If different from permanent address)

Address Add another Address Line

                  Add another Address Line



City        ,    Zip Code

County:

Phone:     Type:

E-Mail Address: Type:

Confirm E-Mail Address:

Acceptance emails will be sent to the email address you provide. Please provide a personal email address, not a high school or college provided email address.

Personal Information

Section 3 of 6

Are you of Hispanic or Latino origin?: Yes No

What is your race:

Select one or more of the following categories

American Indian or Alaska Native Asian Black or African American

Native Hawaiian or other Pacific Islander White

Military Background

Are you a: Active Duty Veteran Veteran's Dependent None

Are you applying for veterans' benefits?

Yes No

Check all of the following activities which you would be interested in participating at Allegany College of Maryland:

Honor Program (B+ avg. req)      Student Government      Co-ed Cross Country

Women's Softball      Women's Volleyball      Women's Basketball      Women's Soccer

Men's Baseball      Men's Soccer      Men's Basketball

Educational Background

Section 4 of 6

Education completed at time of entrance to Allegany College of MD: (select one)

College Graduate
High School Graduate
High School Certificate
GED/External High School Diploma Recipient
I plan to attend ACM while also attending High School (Early College)
Do not hold HS diploma or GED

Year graduated or expected to graduate from high school/technical high school or year GED obtained:

Year:

High school graduated from:

Have you ever attended ACM or any other college/university?

YES NO

Have you been the subject of disciplinary action or suspension by any college or university you have attended?

YES NO

Are you interested in on campus housing?

YES NO

Educational Goals

Section 5 of 6

Please select your program of study while attending ACM: (select one)

AA
Associate of Arts

AAS
Associate of Applied Science

AAT
Associate of Arts in Teaching

AS
Associate of Science

CERT
Certificate

LOR
Letter of Recognition

AOC
Area of Concentration

Do you plan to attend: (select one)

Cumberland Campus
Bedford County Campus
Somerset Education Site
Online Instruction
Early College

When do you plan to begin studies at Allegany College of Maryland?*

Fall Spring Summer
Fall (Full term begins in August) Spring (Full term begins in January) Summer (Full term beings in May)

Select the one statement which most closely corresponds to your primary reason for attending Allegany College of Maryland:

Exploration of new career or academic areas
Preparation for immediate entry into a career
Preparation for transfer to a four-year institution
Update skills for a job currently held
Interest and self-enrichment
Other

Please indicate how you first learned about ACM?: (select one)

College Recruiter Guidance Counselor Billboard TV

Radio ACM Publication ACM Website Social Media

Internet Parent Friend Other

Media Release

I am a legal resident of in * state, * (county) and have resided there for years, months immediately preceding the first day of classes of the semester applied for at Allegany College of Maryland. Further, my presence during this period was not for the purpose of temporary residence incident to enrollment in an institution of higher education. (Documentation of residency may be requested).

E-Signature:

College Policy Statement

Section 6 of 6

Anyone who experiences mobility, medical, psychological, or learning disabilities is encouraged to contact the appropriate office/person to request reasonable accommodations. For instructional accommodations, contact https://allegany.edu/academic-access-and-disability-resources/ For non-instructional accommodations or if you need to make a complaint, contact ACM’s ADA/504 Coordinator, Dr. Renee Conner in CC-12, by email at rconner@allegany.edu, or by phone at (301) 784-5206. For detailed information about policy, procedures, and prevention education, see https://www.allegany.edu/student-and-legal-affairs/.

In compliance with Part V, Department of Education, 34-CFR, Part 668 - Student Assistance General Provisions; Allegany College of Maryland will make available to all prospective students data regarding completion or graduation rates for the College through the College Admissions Office. Completion or graduation rates of students receiving athletically- related student aid data are available to all potential student athletes, their parents, high school coaches and guidance counselors through the Athletic Department. Allegany College of Maryland complies with the Higher Education Reauthorization Act including the Clery Act, and the Violence Against Women Act as well as other federal and state rules. Crime statistics are submitted annually to the United States Department of Education (website: https://ope.ed.gov/campussafety/#/), and the most recent annual Crime & Fire Safety Report is published on the college’s website at https://www.allegany.edu/documents-policies/index.html.

Allegany College of Maryland is in compliance with the Family Educational Rights and Privacy Act of 1974. Allegany College of Maryland accords all the rights under the law to all students in credit courses. No one outside the institution shall have access to, nor will the institution disclose, any information from students' education records without the written consent of students except to personnel within the institution, to accrediting agencies carrying out their accreditation function, to persons in compliance with a judicial order, and to persons in an emergency in order to protect the health or safety of students or other persons. All of these exceptions are permitted under the Act.

Allegany College of Maryland prohibits sexual misconduct and sex discrimination by or against all students, employees, and campus guests. If you have any questions or concerns or if you need to make a complaint, contact ACM’s Title IX Coordinator, Dr. Renee Conner in CC-12, by email at rconner@allegany.edu, or by phone at (301) 784-5206. For detailed information about policy, procedures, and prevention education, see https://www.allegany.edu/title-ix/index.html

I have read the statements contained herein and accept the conditions and policies. Further, I certify that all information provided in this application is true/accurate and that any omissions or inaccuracies could result in dismissal from the College.

I understand that it is my responsibility to notify the Admissions Office of any change in the information contained on this application.

In making this application, I agree to abide by all College rules, policies, and regulations (including student code of conduct), as well as local, state, and federal laws. I understand it is my responsibility to complete any student education/training required by law, regulation, or college policy. I further accept and agree to abide by the policies and regulations of Allegany College of Maryland concerning drug and alcohol abuse and understand that the unlawful use of drugs or alcohol will subject me to penalties contained in those policies and regulations.

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American Indian or Alaska Native	Asian	Black or African American
Native Hawaiian or other Pacific Islander	White

AA	Associate of Arts
AAS	Associate of Applied Science
AAT	Associate of Arts in Teaching
AS	Associate of Science
CERT	Certificate
LOR	Letter of Recognition
AOC	Area of Concentration

College Recruiter	Guidance Counselor	Billboard	TV
Radio	ACM Publication	ACM Website	Social Media
Internet	Parent	Friend	Other
Media Release