PLCC High School Application
We are currently accepting applications for high school admission for the 2026-27 school year. 

Senior only Phlebotomy students may also use this OTC+ Interest Form.

Those looking for Adult Education will want to use the application form located here - https://plcc.edu/enroll/adult-education/online-application/
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First Name *
Please enter your full legal first name
Last Name *
Please enter your full legal last name
Street Address *
City *
State *
Zip Code *
Date of Birth *
MM
/
DD
/
YYYY
Student City of Birth *
Gender *
Student Racial Group *
Please choose all that apply:
Required
Are you Hispanic/Latino? *
Student Email Address *
Student Phone Number *
Please enter numbers only ... NO . - / ()
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