Manual Create an Account

Please do not use this form for name changes. All name and information changes require documentation. Please complete the Student Record Change Form.
* - denotes a required field.

*Last Name

*First Name

Middle Name

Former Last Name

*Street Address

*City

*State

*Zip Code

*County

*Email Address

Primary Phone Number

Phone Type Make a Selection Home Cell Work

Phone Number

*Gender Make a Selection Male Female Client Refused

*Birth Date

Month Month January February March April May June July August September October November December Day Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year

Race

American Indian or Alaskan Native
Asian
Cambodian
Laotian
Vietnamese
Black
Native Hawaiian or other Pacific Islander
White
Client Refused

Ethnicity Make a Selection Hispanic or Latino Not Hispanic or Latino

Secondary Education Make a Selection High School GED HSED Home School EHSED Out of country

Highest Grade Completed Make a Selection 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17=greater than 16th No equivalent grade available Client Refused

High School Attended

High School City

High School State

Did You Graduate from High School? Make a Selection Yes No

Year Graduated from High School?

Please allow 24 business hours (Monday-Friday) for processing, before logging in to your WCTC account. Accounts are not processed on Saturday or Sunday. There may be a delay during peak periods.

Questions? Contact Registration at studentreg@wctc.edu or 262.691.5578.