Signature Page


Please print this page, then complete and return it to the address below.

Thank you for applying to GCC. We have received your application and will process the data as soon as we receive this signature page containing your signature.

Also, please contact your high school and have your official high school transcript sent directly to us from the high school. All this information should be forwarded to:

Genesee Community College
Office of Admissions
1 College Road
Batavia, NY 14020


I certify that the information in this application is complete and accurate to the best of my knowledge. 


Signature: ___________________________________________________ (Applicant)

Print Name: __________________________________________________ 


Date: ____________________________  


Telephone No: ____________________________ 

Date of Birth: ____________________________ 


Application Term: ____________________________ 



*Please print, complete, and sign this page and return it to the address above or fax it to 585-345-6842.