Rock Valley College
Rockford, Illinois

Degree/Certificate Program Application

Application Instructions:

Please fill out with as complete detail as possible. Once this application is completed and received the Academic Chair of Fitness, Wellness, and Sport, will notify you if you are accepted into the program. There are two individuals you will be working with upon acceptance into the program, RVC counselors and your assigned FWS advisor. You will be contacted by your assigned FWS advisor, once accepted into the program, to discuss course registration and career goals.

If you would prefer to fill out a hard copy of the application, you can download a pdf version, print, and mail it to the address listed at the bottom of page 2 of the application.

If you are a current RVC student and you do not know your Student ID # (or S#) you can find it listed on your schedule/bill or on your Student ID. If you are not yet a registered student at RVC, skip this field.

Providing a phone number is required in case our staff needs to contact you by phone to properly respond to your question or comment.


Please indicate what year you took the ACT.




Check if applicable


(if applicable)


List any work or volunteer experience related to your application for this degree.


Please list any certification that is related to your application for this degree. (Please only list certifications that are current and valid, not “past” certifications.)

   
   
   
   
Please indicate which degree program or certificate program you are interested in. You may choose more than one.

Please write a paragraph or two that describes why you want to pursue a career in the area(s) of concentration you selected above. Please describe educational and professional career goals as related to your chosen degree pathway.