Southern Oregon University Non-Degree Seeking Student Application
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Which term are you applying for? *
Legal first name: *
Preferred first name (optional):
Middle name (optional):
Legal last name: *
Primary email address: *
Date of Birth: *
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Social Security Number (state law determines that this is not required, but we highly recommend providing it for tax and other purposes):
Primary phone number: *
Street1 (Street Number and Street Name): *
Street2 (optional):
City: *
State: *
Zip: *
Gender identity (optional):
Sexual orientation (optional):
Have you ever taken any coursework at SOU previously? *
If you have taken coursework at SOU previously, and you know your SOU ID # (940 number), please provide it:
If you have taken coursework at SOU previously, and you had a different name at the time, please indicate what your name was:
Do you consider yourself a resident of Oregon? *
Do you have a high school diploma or GED? *
If you have a high school diploma or GED, please indicate where from (high school name, city, and state/country, or just indicate "GED" if you have a GED):
Do you have a bachelor's degree? *
If you have a bachelor's degree, please indicate where from (college or university name, city, and state/country):
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