Non-Degree Seeking Application



Mailing Address

Permanent Address


Personal Information

Date of Birth



Marital Status

Race/Ethnicity


Emergency Contact Info

Contact 1
Contact 2

High School Education

Graduation Date


College Education

Do you have any college experience?

Date of attendance (from - to)


Registration Information

*Dual Enrollment students must also submit a transcript and an official letter from their high school.

**Bi-Vocationals do not have to choose any course(s).


Course Information

You can see all of the courses we offer at Clear Creek on our On-Campus Schedule or Distance Education Schedule.

Course 1

Course 2


Fee Information

Dual Enrollment students are to pay for each course in full prior to beginning the class. All other non-degree seeking students are to pay one-fourth of total tuition and fees at the time of registration. All payment policies can be found in the CCBBC College Catalog and must be followed.