All new (including transfer) students must pay a $25 application fee, due at the time of application.  You may print and mail the application (pdf document) along with a check or submit the application by completing the electronic form (below) which requires credit card payment. If you choose to submit your application online, note that this is a secure web site.

 If you have not attended COCC for more than one year from the term for which you’re applying, you must complete an application for admission.  If you have taken credit classes previously, you do not have to pay the application fee.

 All students must take the ASSET placement test or be granted a waiver (degree and certificate students must take the placement test prior to meeting with an advisor).  To determine if you need to take the test, click here.  If you have questions, please call 541/383-7500.
 

Choose a term and year to begin classes at COCC:    

Social Security #   *

Last Name: First Name: Middle Name:

Previous Name:

   

Mailing Address:

City:   State:   Zip: 


Permanent Address:       

City:   State   Zip:        


Billing Address:       

City:          State          Zip:        


Preferred Telephone  

Gender:     Male  Female     

Birthdate:   

Citizenship: 
  US Citizen
  Resident Alien
  Refugee/Immigrant
  Non-Resident Alien
  Visa type   Note:  COCC cannot accept applications from international students for F1 or J1 visas.

Ethnic Origin: 
  African/Black
  Native American
  Asian/Pacific Islander
  Hispanic
  Caucasian
  Other or no answer 

When I begin classes at COCC, I will:
   Also take classes at my high school
   Be a first time college freshman
   Be returning to COCC after an absence
   Have attended another college

Residency: **
     
     I have lived in or own property in the COCC district for one calendar year prior to my intended first term

     I am 23 or younger and my parents/guardian have lived in or own property in the COCC district for one calendar year
             prior to my intended first term:

      I have lived outside of the COCC district during the year prior to my intended first term in:
     California
     Idaho
     Nevada
     Oregon (outside of the Crook, Deschutes, Jefferson counties)
     Washington
     Other

     I live outside of Oregon, but qualify for in-state tuition under COCC’s Native American tuition residency policy (see details below)
 

Educational Goal: 
  I am a certificate- or degree-seeking student.  My goal is:
   One-year certificate
   Two-year degree
   Bachelor's/Master's degree

   I am NOT a certificate- or degree-seeking student  (not eligible for financial aid)

 

Degree Earned to Date: 
The highest degree obtained up to now: 
  
List all colleges/universities previously attended:

Name State Year

Name State Year

Name State Year

 

What is your intended area of study:

Do you plan to pursue a degree at OSU - Cascades? Yes No  

 

High School Education:
   High School Name

   City     State


When I begin COCC:
Currently attending high school.  Intended date of graduation is
High school graduate.  Year of graduation
Earned a GED.   Year    Where
Earned Adult High School Diploma   Year    Where
Other  Please specify
Not a graduate.   Date last attended

 

Why are you attending COCC?

The following information is requested for state and federal reports.  Providing this information is voluntary. 
Please check all that apply to you.
Single parent of child(ren) at home
Dislocated worker in re-training program
Family income less than $16,000/year
English is my second language

US Veteran
 

Would you like information on any of the following student services:
Club and Intramural Sports
Student Clubs
Student Newspaper
Native American program
Student Housing
Disability Services
Student Government
Career Services
Tutoring Services
Multicultural Center & Programs
____________________________________________________________________________

BILLING INFORMATION

The form below must be completed.  Note: this is a secure web site.

New / Transfer Students: Before submitting the application, please include credit card payment information.

Students returning from an absence / Have already paid the application fee: 
   Payment is not required.  Please choose one of the "not applicable" options in the Credit Card field and
   then enter "1's" in all other blank fields below.
 

Amount charged $25 application fee
Credit card
Cardholder name
Card number
Expiration date (mm-yy)
Zipcode of cardholder

After entering your personal information please click the Submit button below:

If you have questions, please call the COCC Admissions Office at 541/383-7500.

* SS NUMBER: Once your initial Application for Admission is processed, you will be assigned a COCC ID number.  Use this number to register for classes and other college related business.  Providing your social security number (SSN) is voluntary.  If you provide it, the College will use your SSN for keeping records, research and reporting, extending credit, processing debts, and allowing students access to the COCC/OSU library systems.  The College will not use your number to make any decision directly affecting you or any other person.  Your SSN will not be given to the general public.  If you choose not to provide your SSN you will not be denied any rights as a student.  Please read the consent for information contained in the catalog, which describes how your number will be used.  Providing your SSN means that you consent to use of the number in the manner described.

** RESIDENCY STATUS:  Residency classification will be made according to the following definitions; see the COCC Catalog for complete details.  Note that in-state and out-of-state students will convert to in-district two years after the term they begin classes:

In-district:  An individual who (or, if 23 or younger, whose parent/legal guardian) owns property or has maintained a permanent and continuous residence in the COCC district for one full year prior to the beginning of the first term of enrollment will be classified as an in-district resident.  The COCC District consists of Deschutes, Crook and Jefferson Counties, the northern portion of Klamath and Lake Counties, and the Warm Springs Indian Reservation.

In-state:  An individual who (or, if 23 or younger, whose parent/legal guardian) has maintained a permanent and continuous residence in the state of Oregon, but outside the COCC College district, for one full year prior to the beginning of the first term of enrollment will be classified as an in-state resident. 

Out-of-State:  An individual who (or, if 23 or younger, whose parent/legal guardian) has maintained a permanent and continuous residence outside the state of Oregon for any period in the year prior to the beginning of the first term of enrollment will be classified as an out-of-state resident.  Exemption:  Per Oregon Administrative Rules, residents of Washington, California, Nevada and Idaho will be charged in-state tuition.

Native American Students:  Students who are enrolled members of federally recognized tribes of Oregon or who are enrolled members of a Native American tribe which had traditional and customary tribal boundaries that include parts of the state of Oregon or which had ceded or reserved lands within the state of Oregon shall be charged in-state tuition regardless of their state of residence (note that residents of the Confederated Tribes of Warm Springs are charged in-district tuition).  See a listing of eligible tribes.  Note that students must provide a copy of tribal enrollment documents to the Director of Admissions/Registrar prior to starting classes.

NON-DISCRIMINATION POLICY: It is the policy of the Central Oregon Community College Board of Directors that there will be no discrimination or harassment on the basis of age, disability, gender, marital status, national origin, color, race, religion, sexual orientation or veteran status in any educational programs, activities or employment. Persons having questions about equal opportunity and nondiscrimination should contact the Equal Employment Officer, c/o COCC’s Human Resources office, (541) 383-7216.

Faculty, staff and students are protected from discrimination and harassment under Title VII of the Civil Rights Act of 1964 and Title IX of the Education Amendments of 1972. Persons who, because of a physical or learning disability, need special accommodation should contact ADA Coordinator Gene Zinkgraf, (541) 383-7776, in advance of their need for accommodation. Further inquiries may be directed to the Affirmative Action Officer, c/o COCC’s Human Resources office, (541) 383-7216.

Last updated 05/07/08