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Online Application for Admission to OC

Instructions:

Please complete all requested information. Failure to complete this application could result in a delay in your admission. All applications become part of Odessa College's official files and cannot be returned. Please print a copy of this application for your records.


SEMESTER YOU ARE APPLYING FOR:   Year  

STUDENT BACKGROUND - Give complete legal name:
Last       First       Middle

PREVIOUS NAMES USED:   None
Complete Legal Name (Last, First, Middle Initial)  
Complete Legal Name (Last, First, Middle Initial)  
Complete Legal Name (Last, First, Middle Initial)  

SOCIAL SECURITY NUMBER: (If you do not have a social security number enter 000-00-0000)

MAILING ADDRESS:
Street    Apartment #   City
State         Zip         County  

How long have you lived at your current address?

Years         and Months  


PREVIOUS ADDRESS:   Same as Mailing Address
Street     Apartment #    City
State         Zip         County  

How long have you lived at your previous address?

Years         and Months  


PHONE NUMBERS:  Home   Work  
                             Cell

BIRTHDATE:  Month    Day     Year     Age  

BIRTHPLACE: 
City  State  Country

GENDER:   Male       Female

ETHNIC BACKGROUND:  
This information is used for state and federal reporting requirements and does not affect admission decisions.

EDUCATION INFORMATION:

What is your intended major at Odessa College:  

Certificate Degree


LAST HIGH SCHOOL ATTENDED:
School           City  
County           State    

Did you graduate from high school?
Yes - Date of graduation:  Month       Year  Click Here
No - If you did not graduate, do you have a GED? Click Here
  Yes - Date GED received:  Month
        Year  Click Here
    No Click Here
Are you currently in high school?
No  Click Here    
Yes - Anticipated date of graduation:  Month       Year  Click Here
  If you are still in high school, are you attending as:
  Dual enrollment - Allows you to earn both high school and college credit.*
Click to print Dual Enrollment (pdf)
  Early admission - Allows you to earn college credit only.*
Click to print Early Admissions (pdf)
  *Both programs require a completed form from the high school.

If you have attended any other colleges or universities, please list them below. List the most recently attended first. Failure to disclose colleges may result in non-admission or dismissal if enrolled. An official transcript that includes grades from the last semester in attendance is required from all institutions previously attended.
College or University (Do not abbreviate with initials)  
  City        State  
  First Semester         Year  
  Last Semester         Year  

College or University  
  City        State  
  First Semester         Year  
  Last Semester         Year  

College or University  
  City        State  
  First Semester        Year  
  Last Semester         Year  

Total semester hours attempted at all colleges/universities:

Official THEA/COMPASS scores or proof of exemption must be provided prior to enrolling in any college level semester hours unless the student is enrolled in a THEA/COMPASS-waived certificate program. Completion of this application serves as authorization to access your scores.

CORE RESIDENCY: (The portion must be be completed)
Part A
1. During the 12 months prior to the term for which you are applying, did you attend a public college or university in Texas in a fall or spring term? Yes No
  If you answered "no", continue to Part B.  If you answered "yes", complete questions 2-5.
2. What Texas public institution did you last attend? (Give full name, not just initials.)  
3. In which term were you last enrolled? Last Semester         Year  
4. During your last semester at a Texas public institution, did you pay resident (in-state) or nonresident (out of state)? Resident Non Resident (out of state) Unknown
5.  If you paid in-state tuition at your last institution, was it because you were classified as a resident or because you were a nonresident who received a waiver?
Resident Non Resident with a waiver Unknown
  IMPORTANT: If you were enrolled at a Texas public institution during a fall or spring semester within the previous 12 months and were classified as a Texas resident, skip to Part I. If you were not enrolled, or if you were enrolled but classified as a nonresident, proceed to Part B.
Part B: Residency Claim
1. Are you a resident of Texas? Yes No
  If you answered "yes" continue to Part C.  If you answered "no", complete the following question and continue to Part I.
2. Of what state or country are you a resident? State  Country
  If you are uncertain, continue to Part C. 
Part C: Acquisition of High School Diploma or GED
1. (a) Did you graduate from high school or complete a GED in Texas? Yes No
  (b) If you graduated from high school, what was the name and city of the school?
School City
2. Did you live in Texas the 36 months leading up to high school graduation or completion of the GED?
Yes No
3. When you begin the semester for which you are applying, will you have lived in Texas for the previous 12 months? Yes No
4. Are you a U. S. Citizen or Permanent Resident? Yes No
If you answered "no" to question 1(a) or 2 or 3, continue to Part D.

If you answered "yes" to all four questions, skip to Part I.

If you answered "yes" to questions 1, 2 and 3, but "no" to question 4, complete a copy of the Affidavit in Chart III, provided as an attachment to this form, skip to Part I of this form and submit both this form and the affidavit to your institution.
Part D: Basis of Claim to Residency.
  (To Be Completed By Everyone Who Did Not Answer "Yes" to Questions 1(a), 2 and 3 of Part C.)
1. Do you file your own federal income tax as an independent tax payer? Yes No
2. Are you claimed as a dependent or are you eligible to be claimed as a dependent by a parent or court-appointed legal guardian? Yes No
  (To be eligible to be claimed as a dependent, your parent or legal guardian must provide at least one half of your support. A step-parent does not qualify as a parent if he or she has not adopted the student.)
3. f you answered "No" to both questions above, who provides the majority of your support?
Self Parent or legal guardian
Other If "other", list here
  If you answered "yes" to question 1, continue to Part E. If you answered "yes" to question 2, skip to Part F. If you answered "no" to 1 and 2 and "self" to question 3, continue to Part E. If you answered "no" to 1 and 2 and "parent or legal guardian" to question 3, skip to Part F. If you answered "no" to 1 and 2 and "other" to question 3, skip to Part G and provide an explanation, and complete the Part I section of this form.
Part E
  Questions for students who answered "Yes" to question 1 or "Self" to question 3 of Part D.
1. Are you a U. S. Citizen? Yes No
2. Are you a Permanent Resident of the United States of America? (A COPY OF THE FRONT AND BACK OF YOUR PERMANENT RESIDENT ALIEN CARD MUST BE SENT TO THE OFFICE OF ADMISSIONS)
Yes No
3. Are you a foreign national whose application for Permanent Resident Status has been preliminarily reviewed? (You should have received a fee/filling receipt or Notice of Action (I-797) from USCIS showing your I-485 has been reviewed and has not been rejected.) Yes No
4. Are you a foreign national here with a visa or are you a Refugee, Asylee, Parolee or here under Temporary Protective Status?  (A COPY OF YOUR VISA MUST BE SENT TO THE OFFICE OF ADMISSIONS) Visa
Refugee
Asylee
Parolee
Temporary Protective Status
5. Do you currently live in Texas? Yes No
  If you are out of state due to a temporary assignment by your employer or other temporary purpose, please explain in question 7.
6. (a) If you currently live in Texas, how long have you been living here? Months
Years
  (b)  What is your main purpose for being in the state?
Go to College Establish/Maintain a Home Work Assignment
  If for reasons other than those listed above, give an explanation in Part G.
7. (a) If you are a member of the U. S. military, is Texas you Home of Record? Yes No
  (b) What state is listed as your military legal residence for tax purposes on your Leave and Earnings Statement?
8.  Do any of the following apply to you ? (check all that apply)
  (a) Hold the title to real property (home, land) in Texas?
If yes, date acquired: Yes No
  (b) Own a business in Texas?
If yes, date acquired: Yes No
  (c) Hold a state or local license to conduct a business or practice a profession in Texas?
If yes, date acquired: Yes No
9. For the past 12 months have you: (check all that apply)  
  (a) Been gainfully employed in Texas? Yes No
  (b) Received services from a social service agency that provides services to homeless persons?
Yes No
10. (a) Are you married to a person who could answer "yes" to any part of question 8 or 9? Yes No

(b) If "yes," indicate which question could be answered "yes" by your spouse:
8a 8b 8c 9a 9b
  (c) How long have you been married to the Texas resident? Months
Years
  Skip Part F and continue to Part G.  
Part F
  Questions for students who answered "Parent" or "Legal Guardian" to question 3 of Part D.
1. Is the parent or legal guardian upon whom you base your claim of residency a U. S. Citizen?
Yes No
2. Is the parent or legal guardian upon whom you base your claim of residency a Permanent Resident?
Yes No
3. Is this parent or legal guardian a foreign national whose application for Permanent Resident Status has been preliminarily reviewed? (He or she should have received a fee/filling receipt or Notice of Action (I-797) from USCIS showing his or her I-485 has been reviewed and has not been rejected.)
Yes No
4. Is this parent or legal guardian a foreign national here with a visa or a Refugee, Asylee, Parolee or here under Temporary Protective Status? Visa
Refugee
Asylee
Parolee
Temporary Protective Status
5. Does this parent or legal guardian currently live in Texas? Yes No
  If he or she is out of state due to a temporary assignment by his or her employer or other temporary purpose, please explain in Part G.
6. (a) If he or she is currently living in Texas, how long has he or she been living here? Months
Years
  b) What is your parent's or legal guardian's main purpose for being in the state?
Go to College Establish/Maintain a Home Work Assignment
  If for reasons other than those listed, give an explanation in Part G.
7. (a) If he or she is a member of the U. S. Military, is Texas his or her Home of Record? Yes No
  b) What state is listed as his or her military legal residence for tax purposes on his or her Leave and Earnings Statement?
8. Do any of the following apply to your parent or legal guardian? (check all that apply)
  (a) Hold the title to real property (home, land) in Texas?
If yes, date acquired: Yes No
  (b) Own a business in Texas?
If yes, date acquired: Yes No
  (c) Hold a state or local license to conduct a business or practice a profession in Texas?
If yes, date acquired: Yes No
9. For the past 12 months, has your parent or legal guardian: (check all that apply)
  (a) Been gainfully employed in Texas? Yes No
  (b) Received services from a social service agency that provides services to homeless persons?
Yes No
10. (a) Is your parent or legal guardian married to a person who could answer "yes" to any part of question 8 or 9? Yes No
  (b) If "yes," indicate which question could be answered "yes" your parent or guardian's spouse:
8a 8b 8c 9a 9b
  (c) How long has your parent or guardian been married to the Texas resident? Months
Years
Part G: General Comments
  Is there any additional information that you believe your college should know in evaluating your eligibility to be classified as a resident? If so, please provide it below: 
   
Part I: Certification of Residency
  All students must complete this section.
  I understand that officials of my college/university will use the information submitted on this form to determine my status for residency eligibility. I authorize the college/university to verify the information I have provided. I agree to notify the proper officials of the institution of any changes in the information provided. I certify that the information on this application is complete and correct and I understand that the submission of false information is grounds for rejection of my application, withdrawal of any offer of acceptance, cancellation of enrollment and/or appropriate disciplinary action.
  Entry of your initials and email substitutes for an electronic signature. Initials: . Email:

STUDENT SURVEY

All students must complete this section.

  1. Primary reason for attending Odessa College
    Earn an associate’s degree (2 year program)
    Earn a certificate (less than 2 years)
    Earn credits for transfer.
    Take courses to improve knowledge/skills.
    Take courses for personal enrichment.
    Undecided.
  1. What is your current employment status?
    I am employed full time.
    I am employed part time.
    I am not employed.
  1. What is your current marital status?
    Single
    Married
    Divorced/separated
    Widow/widower
  1. How many people do you support financially? (Do not include yourself.)

  1. What type of academic plan did you take in high school?
  1. While enrolled in high school did you take college courses?
    Yes     No
  1. What is your highest level of education since high school?
  1. Father’s education (highest level)?
  1. Mother’s education (highest level)?
  1. How many people live in your house?
  1. What is your estimated monthly income?  $
  1. Do you have any disabilities? (Mark all that apply.)
    Physical     Learning     Mental     None
  1. What is the preferred language spoken in your home?
    English    Spanish    Other
  1. Which best describes you?
    Day Student    Night Student    Internet/Web Student
  1. Which best describes you?
    Part-time Student    Full-time Student
  1. The people in your life support your educational goals.
  1. How successful do you feel you will be in reaching your college goals?
  1. Check the extra curriculum activities that you participated in high school?
    School clubs and organizations   
    Sports   
    Community service/Volunteer   
    None

CERTIFICATE STATEMENT
I understand that information submitted herein will be relied upon by college officials to determine my status for admission and residency eligibility. I authorize the college to verify the information I have provided. I agree to notify officials of any change in the information provided. I certify that the information on this application is complete and correct and understand that the submission of false information is grounds for rejection, reversal of acceptance, cancellation of enrollment, or initiation of disciplinary action. I am aware of the meningitis information presented in the Odessa College catalog and/or other sources.
I agree, my email address is      
I disagree

Note: Email address will only be used for Odessa College purposes.
 
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