Application for Admission

Contact & Residency

When will you start UACCB?

* Start Term

* Year

Full Legal Name

* First Name

Middle Name

* Last Name

Other Names

Preferred Name

Previous Name(s)

* Email

* Phone

* Mailing Address

* City

* State

* Zip

* Have you lived in Arkansas consecutively for the past 6 months?

Yes

* Do you currently reside in Independence County?

Yes

Emergency Contact

* Name

* Phone

* Relationship

2022 University of Arkansas Community College Batesville

2005 White Drive, Batesville, AR 72501

PO Box 3350, Batesville, AR 72503

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