GENESEE COMMUNITY COLLEGE
In order to continue processing your application, we need the following question answered:
Which type of high school diploma did you or will you earn?
____ Regents (Advanced Designation) ___ Regents ____ Local ____ Individualized Education
Once you have completed the form please return to us by mail. If you need clarification on the definition of an Individualized Education diploma, please do not hesitate to contact us at (866) CALL GCC.
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: __________________________________________________
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.