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To submit an application to our school, please complete the following form and select Submit Application.

Rend Lake College does not discriminate in any of its policies on the basis of race, color, national origin,
sex, disability, or any other status protected by law. Questions about Title IX or Disability Access may be
directed to or, respectively.
Title IX requires the college not to discriminate on the basis of sex in either admission or employment.
Inquiries about the application of Title IX to the college may be referred to the Tile IX Coordinator,
the Assistant Secretary for Civil Rights, or both.

Title IX Coordinator - Chad Copple, 618-437-5321, Ext. 1237 -
Title IX Deputy Coordinator - Angie Kistner, 618-437-5321, Ext. 1221 -
Title IX Deputy Coordinator - Henry Leeck, 618-437-5321, Ext. 1790 -
Read our policy.

= Required

Personal Information
Address Information
Contact Information
  1. Phone Type Country Phone Number Primary
Demographic Information
Ethnicity and Race Information
  1. Are you of Hispanic/Latino ethnicity or descent? Yes No
    Select one or more races with which you identify yourself:
    American Indian or Alaska Native
    Black or African American
    Native Hawaiian or Other Pacific Islander
    Non Resident Alien
Citizenship Information
Government Information
  1. Calendar
  2. Calendar
Academic Information
  1. Program
Emergency Contacts

  1. Employer Name Position Start Date End Date
Education History

  1. Degrees


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School Policy
  1. Select "I accept" to confirm that you have read and fully understand the terms and conditions set forth in our Application Policy

    I do not accept I accept