Skip to main content
 
advanced search options ›
Last Viewed

Create New Student Profile

Please fill out this form to register for Non-Credit courses.

To apply for admission, you'll complete a brief Student Profile form.  You'll need to provide some basic information about yourself including contact information and details about your residency.

In accordance with \§ 23.2.2:1 of the Code of Virginia, your name, date of birth, gender, and student identification number will be submitted to the Virginia State Police.  By proceeding with the application process, you consent to this submission.

Please note:  It will be necessary for applicants who wish to be considered for veteran's benefits, financial aid, and Hope Scholarship/Lifetime Learning tax credit to provide a Social Security number to the college.  To protect your privacy, your Social Security number will not be used as your student identification number.  The VCCS will only use your Social Security number in accordance with federal and state reporting requirements, and for identification purposes within the VCCS.  It shall not permit further disclosure unless required or authorized by the Family Educational Rights and Privacy Act of 1974, 20 U.S. C. Code 1232g, or pursuant to your obtained consent.

Possessing, brandishing, or using a weapon while on any college or VCCS office property, within any college or VCCS office facilities, or while attending any college or VCCS educational or athletic activities by students is prohibited, except where possession is a result of participation in an organized and scheduled instructional exercise for a course, or where the student is a law enforcement professional.  By proceeding with the application process, you acknowledge and agree to abide by this policy if accepted to a VCCS college.
* denotes required information.
If you have previously attended, applied for admission to, or been employed by any Virginia community college, please enter your Student ID (EmplID) number if known. This is not required, but would be your 7-digit SIS EmplID.
*
You will use your email address as your username on this site.
 Privacy Policy
*
Password: minimum 8 characters, must contain a number and any two of the following three: upper case, lower case, special characters (for example: (){}!@$%^&*)
*
*
*
*
*
Birthdate*
Social Security Number

Nine digits; including dashes; required for FastForward
With what gender do you identify?
Man
Woman
Non-Binary
None of the above
Prefer not to answer
Mail preference
May we include you on our mailing lists?
Yes No
Cancel
Primary Address
 
Mail/Shipping
*
*
*
*
*
*
Secondary Address
*
Additional phone
 
 
Are you Hispanic or Latino/a?

Defined as a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
What is your racial or ethnic identification?

Providing the information below is voluntary. This question complies with the U.S. Department of Education’s new standards for ethnic and racial data collection.






Permanent resident number (A#)


calendar [mm/dd/yyyy]

Please select your country of origin. Do NOT select the 'United States' in this case.
Temporary Resident Details



Please select your country of origin. Do NOT select the 'United States' in this case.
I want to apply for the F1/M1 student visa








[m/d/yyyy]
Cancel


Peninsula Workforce Development Center
600 Butler Farm Road
Hampton, VA 23666
(757) 825-4070