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To become a career credit student, please submit the following information. Name provided will appear on transcript, certification, and licensure documents. Motorcycle Students: Please provide name as it appears on driver's license. Parents registering a minor for a class/camp: Please use NAME AND INFORMATION FOR THE CHILD when creating the profile, and enter parent/guardian's daytime phone number.

* 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.
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You will use your email address as your username on this site. If you do not have an email address, please contact Patrick Henry Community College at 276-656-0260 for assistance.
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Password: minimum 8 characters, must contain a number and any two of the following three: upper case, lower case, special characters (for example: (){}!@$%^&*)
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Mail preference
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Primary Address
 
Mail/Shipping
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Secondary Address

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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.
Social Security Number

Nine digits; including dashes
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#)



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]
Birthdate*

Enter as mm/dd/yyyy format.
What is your gender identity?
Male
Female
Other
Prefer not to answer