OC Non-Degree Seeking Application

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For students wishing to take coursework at OC, but do not want to pursue a degree.

First Name *

Last Name *

Birth Date *

YYYY

Email Address *

Cell Phone Number *

Street Address *

City *

State *

Zip Code *

Country of Citizenship *

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 *

Type of Student *

Undergraduate Student

Graduate Student

If you are currently seeking a degree, at what university are you attending?

Reason for taking non-degree seeking courses *

What course or courses are you wanting to take? *

Have you ever applied or been enrolled at OC in the past? *

Yes

If so, when?

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: *

Date Signed: *

YYYY

Submit

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