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College of Lake County College Night

Thursday, October 16, 2025 at 6:00 PM until 8:00 PMCentral Daylight Time UTC -05:00

College of Lake County
19351 W Washington St
Grayslake, IL 60030
United States

Your name and identity are important to the College. We will use preferred name in most communication to you, but some official documentation may use your legal first name. Please note this as you complete the name portion of this form.

First Name

Preferred Name

Last Name

Date of Birth

Pronouns

She/her/hers

He/him/his

They/them/theirs

Other pronouns

If your pronouns are not included in the list above, please provide your pronouns here.

Contact your admissions counselor if you want us to use different pronouns in specific circumstances.

Email Address

Phone Number

Would you be okay with the College sending you text messages regarding important events and deadlines?

Permanent Address*

Country

Street

City

Region

Postal Code

Current School

Student Type

Entry Term (For many high school students, this it typically the fall after you graduate from high school.)

Academic Interest 1

Academic Interest 2