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OC Non-Degree Seeking Application
For students wishing to take coursework at OC, but do not want to pursue a degree.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
Email Address
*
Your answer
Cell Phone Number
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Country of Citizenship
*
Your answer
Gender
*
Male
Female
Ethnicity
Non-Hispanic
Hispanic
Clear selection
Race
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific
White
Enrollment Information
Term
*
Fall (August start)
Spring (January start)
Winter (December intercession)
Summer (May-August Intercessions)
Year
*
Your answer
Type of Student
*
Undergraduate Student
Graduate Student
If you are currently seeking a degree, at what university are you attending?
Your answer
Reason for taking non-degree seeking courses
*
Your answer
What course or courses are you wanting to take?
*
Your answer
Have you ever applied or been enrolled at OC in the past?
*
Yes
No
If so, when?
Your answer
By submitting this application, I affirm that this information is correct to the best of my knowledge. I also understand that my enrollment as a special student does not imply matriculation in a degree program at OC.
In place of your signature, please type your full legal name:
*
Your answer
Date Signed:
*
MM
/
DD
/
YYYY
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