Application for Admission

International Students
Are you an International Student? * Required
- Yes
- No
International Students: Please see the International Students page for the international student application and also be sure to send an email to the International Students Liasion via their Contact Form to inform them of your intent to apply.

High School Students
Are you a High School student interested in Dual Enrollment or the Early Middle College program? * Required
- Yes
- No
Students interested in taking classes prior to high school graduation: please see our High School Options page for the correct application and more information.

Student Housing
Are you interested in on-campus Student Housing?
- Yes
- No
For more information about on-campus housing in our new Devier Student Suites, or to fill out a housing application, please visit our Student Housing page.

Student Status
What is your Student Status? * Required

Personal Information
Legal Name * Required
First Middle Last Suffix
(example: Matthew not Matt)
Former Last Name

Use the plus (+) symbol at the end of the line for additional last names
Preferred Name
First Last
Birth/Maiden Last Name
If different than current legal last name
Date of Birth - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY

Residential Information
Address * Required
Street Address Line 2 / PO Box City State / Province / Region ZIP / Postal Code Country
Please enter your COMPLETE address

Contact Information
Email * Required

*Non-high school email address is preferred
Phone Numbers
Number Type May we text?

Use the plus (+) symbol at the end of the line for additional contact numbers
Please only enter numerical characters for phone number (i.e. 269-555-1212)

Social Security Information
Social Security Number * Required
*Note: If you attempt to use a fraudulent Social Security Number in this field, you will be unable to continue with the application.
Note:

If you do not want to provide a SSN please submit a Printable Application in person, via fax, or by email.

Parents' Highest Level of Education

List

Parent/Guardian	Education Level

Please list each parent/guardian's education level. Use the plus (+) symbol at the end of the line to add additional parents/guardians.

Educational Background
What will be your completion status when you begin college? * Required
Where will you or where did you receive your high school diploma? * Required
City
State
Graduation Year

Other Colleges
Please list any colleges you have previously attended.
College 1
College 2
College 3
College 4
College Information
College/University Name City/State

Use the plus (+) symbol at the end of the line to list additional colleges

Educational Plan
Starting Semester * Required
- Fall
- Winter
- Summer
Starting Year * Required
Degree Programs Plans * Required
Certificate Plans * Required
Technology Certificate Plans * Required
Technology Certificate Plans * Required
Business Certificate Plans * Required
Students seeking this status will not be financial aid eligible. This includes grants, scholarships, and student loans. If you have chosen Personal Interest on Step 4 of the application, please select it here as well.
You MUST also apply to MSU for this program. Please find the application on the MSU Ag page.
Associates of Arts Degree meets MTA requirements
*Must also choose a certificate
** must apply to Director of Nursing for selective Admission
*** Program has selective admission
*** Program has selective admission
If your program of interest is not listed, please enter name here:
Glen Oaks Community College is committed to a policy of providing equal access to education for all persons regardless of race, color, sex, age, religion, national origin, sexual orientation, disability, veteran status, or other status as protected by law. The College's nondiscrimination policy applies to admissions, employment, and access to college programs and activities. This policy applies to all persons employed at GOCC, enrolled as a student, seeking admission to the college, requesting employment at, or having contracts with the college. The College values diversity and seeks talented students, faculty and staff from diverse backgrounds. The College does not discriminate in the administration of educational policies, programs or activities: admission policies: scholarship and loan awards: or other college administered programs or employment. The College's Civil Rights Coordinator has copies of all Acts and regulations and can provide information on grievance procedure and will investigate all complaints. Inquiries concerning the non-discriminatory policy may be directed to Director, Office of Civil Rights, U.S. Dept. of Education, 400 Maryland Ave. S.W., Washington, D.C. 20202 Phone (216) 522-4970. Submission of this form electronically shall constitute my signature on the form. By submitting this form, I certify that the information given on this application is correct and complete to the best of my knowledge, and I agree to observe all the rules and regulations of Glen Oaks Community College. I understand that false information on this application may result in my dismissal from Glen Oaks Community College.

By submitting this application, I am also granting permission for the institution to use my image for marketing, communication, and advertising/promotional purposes. If I do not want my image used in these materials, I must state my objection to the photographer/videographer during the shoot and/or in writing, or submit my request to the Director of Communications and Marketing.
Glen Oaks Community College is committed to a policy of providing equal access to education for all persons regardless of race, color, sex, age, religion, national origin, sexual orientation, disability, veteran status, or other status as protected by law. The College's nondiscrimination policy applies to admissions, employment, and access to college programs and activities. This policy applies to all persons employed at GOCC, enrolled as a student, seeking admission to the college, requesting employment at, or having contracts with the college. The College values diversity and seeks talented students, faculty and staff from diverse backgrounds. The College does not discriminate in the administration of educational policies, programs or activities: admission policies: scholarship and loan awards: or other college administered programs or employment. The College's Civil Rights Coordinator has copies of all Acts and regulations and can provide information on grievance procedure and will investigate all complaints. Inquiries concerning the non-discriminatory policy may be directed to Director, Office of Civil Rights, U.S. Dept. of Education, 400 Maryland Ave. S.W., Washington, D.C. 20202 Phone (216) 522-4970. Submission of this form electronically shall constitute my signature on the form. By submitting this form, I certify that the information given on this application is correct and complete to the best of my knowledge, and I agree to observe all the rules and regulations of Glen Oaks Community College. I understand that false information on this application may result in my dismissal from Glen Oaks Community College. By signing this application, I am also granting permission for the institution to use my image for marketing, communication, and advertising/promotional purposes. If I do not want my image used in these materials, I must state my objection to the photographer/videographer during the shoot and/or in writing, or submit my request to the Director of Communications and Marketing.

Step 1 of 13

International Students

High School Students

Student Housing

Student Status

Personal Information

Residential Information

Contact Information

Social Security Information

This section is voluntary

Parents' Highest Level of Education

Educational Background

Other Colleges

Educational Plan

Number	Type	May we text?

College/University Name	City/State