Student Information Form


If you have questions, call the Welcome Center at (715)365-4493.


This is your preferred first name. Please leave blank if your preferred name is the same as your legal name. Preferred name will be used for your email display, schedule, mailings, and class roster.





Don't know your student ID? Contact the Welcome Center at 715.365.4493 ext. 1 for assistance.

If you do not want to provide your social security number, please contact the Welcome Center for a paper form.





If you have not yet graduated, please enter your expected year of graduation.

Required to receive electronic diplomas/certificates.











Emergency Contact 1 Information




Emergency Contact 2 Information



Confidential Information








Do not include any courses/credentials received while still enrolled in high school.



Providing disability status information is voluntary and will be used to determine if special services or accommodations can be provided and to comply with federal reporting requirements.


Select YES if you are single, separated, divorced, or widowed and have primary responsibility for dependent(s) under age 18 (including single pregnant women).


Select YES if: 
  • your primary role is as caretaker for your home/family AND 
  • you are unemployed/underemployed and are experiencing difficulty in obtaining/upgrading employment AND 
  • you have been dependent on the income of another family member but are no longer supported by that income OR 
  • your family income has been drastically reduced because your Armed Forces spouse recently deployed, died, or was disabled



Please choose yes if you will be in prison, jail, detention center, halfway house, etc.




Payment Agreement and Disclosure Statement

At Nicolet Area Technical College, the payment of tuition and fees becomes an obligation at the time of registration. The undersigned agrees to pay their obligations to Nicolet Area Technical College (hereinafter referred to as “Nicolet College”) in accordance with the following:

 TERMS OF AGREEMENT: This Agreement will continue for as long as I am enrolled at Nicolet College or any obligation remains unpaid in whole or in part. PROMISE TO PAY: I understand and agree that I will pay tuition, course fees, activity fees, and other fees and charges incurred by me as a student at Nicolet College. Semester Payments: I will pay all tuition and fees owing by the start date of the term or register for a payment plan.  I will pay any charges incurred during the term by the due date indicated on the billing by Nicolet College.

 FINANCIAL AID: I authorize Nicolet College to use any financial aid received for payment toward tuition, fees and books.

 TELEPHONE AUTHORIZATION: I authorize Nicolet College and their respective agents and contractors to contact me regarding my tuition account at the current or any future number that I provide to the College for my cellular phone or other wireless device using automated telephone dialing equipment or artificial or prerecorded voice or text messages. I understand that I will be responsible for charges that may result from such communication to a wireless phone number.

 Voluntarily WITHDRAWAL: I understand that, if I withdraw from Nicolet College after the published refund dates, I remain liable for tuition and fee charges remaining after Federal Aid has been adjusted per guidelines placed on Title IV funds by the Department of Education. Official withdrawals must be initiated by the student.

Administrative Drop / Unofficial Withdrawal:

I understand that I will be administratively dropped from my courses at the date of census for nonparticipation and assume responsibility for the remaining balance after this policy has been implemented.

For financial aid purposes, Nicolet College recognizes two types of withdrawals: Administrative Drops and Unofficial Withdrawals.

These are handled as follows:

Administrative Drops
If I don’t participate in my courses by the census date, I may be administratively dropped. In that case, I will receive an 80% tuition refund. For Competency-Based Education (CBE) courses in the 8-week format, the refund is 60%. I understand that I am responsible for paying any remaining balance after the drop.

Unofficial Withdrawal
According to federal financial aid regulations, if I receive all F (failure) grades or a combination of F and W (withdrawal) grades during a term, I will be considered an unofficial withdrawal. If I neglect to participate or engage in coursework, I must repay all financial aid I received for that term, and I will still be responsible for any outstanding tuition balance.

 DEFAULT/COLLECTION REMEDIES: I will be in default if I fail to make payments when due under this agreement (including failure to make payments due to insufficient funds in an account or failure to make scheduled payments on a Payment Plan Agreement). I understand that failure to pay will result in the following: 1) I will not be able to register for subsequent terms or bill additional items or courses to my student account; 2) My debt may be referred to the Department of Revenue, subject to the Tax Intercept Program for collection of unpaid tuition and fees.

 BANKRUPTCY: Nicolet College is a nonprofit institution of higher education. As such, my obligation will be deemed to be for the sole purpose of financing an education and is not dischargeable in bankruptcy proceedings. Registration and acceptance of these terms constitute a promissory note agreement (I.e., a financial obligation in the form of an educational loan as defined by the U.S. Bankruptcy Code at 11 U.S.C. §523(a)(8)) in which Nicolet College is providing an educational services, deferring some or all payment obligation for those services, and students  promise to pay for all assessed tuition, fees and other associated costs by the published or assigned due date.  

 NOTICE OF CHANGES: I will notify Nicolet College immediately of any change in my address. Nicolet College reserves the right to modify the terms and conditions of this agreement at any time by notifying me in advance.

GOVERNING LAW: This agreement shall be subject to the laws of the State of Wisconsin. Any dispute arising under this agreement shall be venued in the First Judicial District Court in Oneida County, Wisconsin.